ANALYSIS OF THE INFLUENCE OF CARDIOLOGICAL ANAMYST ON THE RESULTS OF SURGICAL TREATMENT OF POST-TRAUMATIC PERICARDITIS

Abstract

Abstract. Introduction. Post-traumatic pericarditis is the most common and most discussed disease of the pericardium. Today there are no studies aimed at identifying the causes and mechanisms of occurrence of certain forms of pericarditis and specific recommendations for their diagnosis and treatment. The lack of unified tactics in the treatment of post-traumatic pericarditis determines the need for different approaches and attitudes in medical institutions, in particular, monitoring the treatment of the wounded and injured, taking into account diseases of the circulatory system, as well as injuries and diseases of the myocardium.
 The Aim is to identify the patterns of development and to establish the features of hemodynamic disorders in heart failure in victims with post-traumatic pericarditis.
 Materials and methods. 62 cases of post-traumatic pericarditis have been investigated. They have been divided into 2 groups. The patients of group 1 (n = 29) had no cardiac anamnesis at the time of injury, their average age was (58.7±9.4) years (M±σ). The patients of group 2 (n = 33) had an anamnesis of chronic coronary heart disease (CCHD), their average age was 60.0±9.6 years (between groups p = 0.6). All patients underwent thoracoscopic pericardotomy, sanation and drainage of the pericardial and pleural cavities. The level of troponin I (TnI) as an indicator of myocardial damage, the level of NT-proBNP as an indicator of the degree of heart failure, as well as indicators of cardio and central hemodynamics and their energy component have been studied: stroke index (SI), ejection fraction (EF), cardiac index (CI), specific peripheral vascular resistance (SPVR), systemic perfusion pressure (SPP), which is equal to the difference between average arterial and central venous pressure, blood flow power (BFP), oxygen reserve (OR) and circulatory reserve (CR). Stages of research: 1) admission; 2) 3rd day; 3) 7th day.
 Results and discussion. Myocardial injury affected the state of the myocardium much more significantly than previous CCHD. The use of energy indicators of blood circulation allows to evaluate more accurately its condition. Surgical intervention improves the condition of the circulatory system, but the previous heart failure on the background of the CCHD reduces the results of treatment.