Przegląd Gastroenterologiczny

Abstract

4/2023 vol. 18
Original paper

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

  1. Department of Interventional Cardiology, Mangystau Regional Multidisciplinary Hospital, Aktau, Republic of Kazakhstan
  2. Department of Cardiology, Scientific Research Institute of Cardiology and Internal Diseases, Almaty, Republic of Kazakhstan
  3. Department of Anaesthesiology, Medical Centre “Rakhat Clinic”, Almaty, Republic of Kazakhstan
  4. Department of Surgery and Course of Anaesthesiology, Kazakh-Russian Medical University, Almaty, Republic of Kazakhstan
  5. Department of Cardiology, Ayaguz Central Regional Hospital, Ayaguz, Republic of Kazakhstan
Gastroenterology Rev 2023; 18 (4): 421–429
Online publish date: 2023/11/27
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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.

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