Pathogenetic justification of digestive tract dysfunction correction to reduce the risk of ventricular extrasystoles after coronary bypass grafting

Timur Utegaliev; Marshan Ermakhanova; Bauyrzhan Sarsembayev; Marat Kuzikeev; Irina Shley

doi:10.5114/pg.2023.133223

eISSN: 1897-4317
ISSN: 1895-5770

Gastroenterology Review/Przegląd Gastroenterologiczny

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4/2023
vol. 18

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abstract:

Original paper

Pathogenetic justification of digestive tract dysfunction correction to reduce the risk of ventricular extrasystoles after coronary bypass grafting

Timur Utegaliev

¹

,

Marshan Ermakhanova

²

,

Bauyrzhan Sarsembayev

³

,

Marat Kuzikeev

⁴

,

Irina Shley

⁵

Department of Interventional Cardiology, Mangystau Regional Multidisciplinary Hospital, Aktau, Republic of Kazakhstan
Department of Cardiology, Scientific Research Institute of Cardiology and Internal Diseases, Almaty, Republic of Kazakhstan
Department of Anaesthesiology, Medical Centre “Rakhat Clinic”, Almaty, Republic of Kazakhstan
Department of Surgery and Course of Anaesthesiology, Kazakh-Russian Medical University, Almaty, Republic of Kazakhstan
Department of Cardiology, Ayaguz Central Regional Hospital, Ayaguz, Republic of Kazakhstan

Gastroenterology Rev 2023; 18 (4): 421–429

DOI: https://doi.org/10.5114/pg.2023.133223

Online publish date: 2023/11/27

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AMA

Utegaliev T, Ermakhanova M, Sarsembayev B, Kuzikeev M, Shley I. Pathogenetic justification of digestive tract dysfunction correction to reduce the risk of ventricular extrasystoles after coronary bypass grafting. Gastroenterology Review/Przegląd Gastroenterologiczny. 2023;18(4):421-429. doi:10.5114/pg.2023.133223.

APA

Utegaliev, T., Ermakhanova, M., Sarsembayev, B., Kuzikeev, M.,  & Shley, I. (2023). Pathogenetic justification of digestive tract dysfunction correction to reduce the risk of ventricular extrasystoles after coronary bypass grafting. Gastroenterology Review/Przegląd Gastroenterologiczny, 18(4), 421-429. https://doi.org/10.5114/pg.2023.133223

Chicago

Utegaliev, Timur, Marshan Ermakhanova, Bauyrzhan Sarsembayev, Marat Kuzikeev,  and Irina Shley. 2023. "Pathogenetic justification of digestive tract dysfunction correction to reduce the risk of ventricular extrasystoles after coronary bypass grafting". Gastroenterology Review/Przegląd Gastroenterologiczny 18 (4): 421-429. doi:10.5114/pg.2023.133223.

Harvard

Utegaliev, T., Ermakhanova, M., Sarsembayev, B., Kuzikeev, M.,  and Shley, I. (2023). Pathogenetic justification of digestive tract dysfunction correction to reduce the risk of ventricular extrasystoles after coronary bypass grafting. Gastroenterology Review/Przegląd Gastroenterologiczny, 18(4), pp.421-429. https://doi.org/10.5114/pg.2023.133223

MLA

Utegaliev, Timur et al. "Pathogenetic justification of digestive tract dysfunction correction to reduce the risk of ventricular extrasystoles after coronary bypass grafting." Gastroenterology Review/Przegląd Gastroenterologiczny, vol. 18, no. 4, 2023, pp. 421-429. doi:10.5114/pg.2023.133223.

Vancouver

Utegaliev T, Ermakhanova M, Sarsembayev B, Kuzikeev M, Shley I. Pathogenetic justification of digestive tract dysfunction correction to reduce the risk of ventricular extrasystoles after coronary bypass grafting. Gastroenterology Review/Przegląd Gastroenterologiczny. 2023;18(4):421-429. doi:10.5114/pg.2023.133223.

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Introduction
In heart pathology, abdominal pathology is often detected, but due attention has not been paid to this issue, and algorithms for predicting, preventing, and correcting the coefficient of endothelial dysfunction (CED) after coronary artery bypass grafting (CABG) with the use of artificial circulation (AC) have not been developed.

Aim
To substantiate the pathogenetic expediency of correction of postoperative intestinal paresis after coronary artery bypass grafting for the prevention of functional cardiac complications.

Material and methods
147 men were divided into 2 groups. Statistical processing of the obtained data was performed using Windows Microsoft Excel software and parametric methods of variational statistics, and the reliability of differences was determined using Student’s formula and table.

Results
It was found that in group II, after coronary artery bypass grafting, the clinical symptoms of intestinal dysfunction were significantly less (p = 0.019), and the recovery of defecation was significantly faster (p = 0.033) than in group I. After coronary artery bypass grafting, the frequency of high-grade extrasystoles in group II was significantly lower than in group I (p = 0.033).

Conclusions
The application of the digestive tract dysfunction correction program is pathogenetically justified because it provides a reduction in the frequency of intestinal paresis and hence a reduction in the frequency of development of ventricular extrasystoles of high gradations after coronary artery bypass grafting.

keywords:

Pathogenetic justification of digestive tract dysfunction correction to reduce the risk of ventricular extrasystoles after coronary bypass grafting

Timur Utegaliev 1 , Marshan Ermakhanova 2 , Bauyrzhan Sarsembayev 3 , Marat Kuzikeev 4 , Irina Shley 5

coronary artery bypass grafting, permanent blockade, intestinal dysfunction, ventricular extrasystole, cardiac-enteral inhibitory reflex

Timur Utegaliev

¹

,

Marshan Ermakhanova

²

,

Bauyrzhan Sarsembayev

³

,

Marat Kuzikeev

⁴

,

Irina Shley

⁵