Place of publication: cardiology and cardiovascular surgery / t. 16, No. 6, 2023
FGAOU in Russian University of Friendship of Peoples named after Patrice Lumumba ", Moscow, Russia
Resume
The purpose of the study. To study the influence of Mexidol in the composition of complex therapy on the perception of life by a patient with heart failure (SN).
Material and methods. An open randomized study included 60 comorbide patients with coronary heart disease (coronary heart disease) and stable chronic heart failure (COL) with cognitive impairment (KN) ≤24 points on the Montreal scale of cognitive function assessment (MOCA). The average age of patients was 73.4 ± 8.6 years, 53% - male, the average fraction of the left ventricle is 43.5 ± 10.6%. 30 patients were included in the standard therapy group with the additional prescription of Mexidol (500 mg intravenously drip 1 time per day for 14 days, then 250 mg 3 times a day 8 weeks) and 30 patients in a standard therapy group. Initially and at the end of the study, an assessment of the perception of life was carried out. The survey included 4 main areas: (1) The relative importance of the goals associated with the disease, (2) problems associated with life with heart failure (CH) and taking medications for CH, (3) decision -making process related to drugs for CH, and (4) awareness and fears for available drugs for SH.
Results. The main problems associated with life with SN and the use of drugs from SN all patients, regardless of the treatment group, initially and after 10 weeks of therapy noted the effectiveness of treatment in a decrease in the symptoms of SN, in a decrease in the number of hospitalizations for SN and mortality. Other problems most urgent for patients were shortness of breath, swelling and fatigue, followed by anxiety about the disease, the need to take a large number of drugs, and the inability to do what they wanted. Lastness, patients were disturbed by depression, the inability to work, the need to help relatives, the cost of drugs and the fight against side effects of drugs. The beneficial influence of Mexidol in complex therapy on the patient’s perception with SN is shown. Improving the cognitive status of the patient, against the background of Mexidol treatment, helps to rethink the main treatment goals for more global - the effectiveness of the drug regarding a decrease in mortality, the number of hospitalizations and symptoms of SN, a decrease in the number of factors limiting the life of edema and breaths, and as a result, an increase in the physical activity of the patient. The only limiting factor is the need for a daily use of a large number of drugs and the desire to reduce their number.
Conclusion. There is a discrepancy between patient priorities and awareness of optimal drug therapy, which proved its effectiveness. Patients are poorly familiar with therapy of CH, and those who are familiar are concerned about her safety and efficiency. Long -term sequential therapy with Mexol with the addition of standard therapy in patients with chronic heart failure of the II - III functional class (according to NYHA classification) with moderate disorders of cognitive status, in addition to a reliable improvement in cognitive status and quality parameters, favorably affects the perception of life with heart failure.
Key words: heart failure, cognitive status, quality of life, Mexidol, perception of life.
Information about the authors:
Tolkacheva V.V. -https://orcid.org/0000-0001-6847-8797
Karapetyan L.V. -https://orcid.org/0000-0002-6697-2393
Khutsishvili N.I. -https://orcid.org/0009-0009-2669-8092
Galochkin S.A. -https://orcid.org/0000-0001-7370-8606
Kazamedov E.R. -https://orcid.org/0000-0002-6274-8933
Kobalava Zh.D. -https://orcid.org/0000-0002-5873-1768
Author responsible for correspondence: Tolkacheva V.V. -E-mail: tolkacheva-vv@rudn.ru
How to quote:
Tolkacheva V.V., Karapetyan L.V., Khutsishvili N.I., Galochkin S.A., Kazakhmadov E.R., Kobalava Zh.D. The influence of Mexidol in the composition of complex therapy on the perception of life by a patient with heart failure, cardiology and cardiovascular surgery. 2023; 16 (6): 642–651. https://doi.org/10.17116/kardio202316061642