SOMATIC COMORBIDITY AMONG MEN AND WOMEN WITH STABLE ANGINA

Abstract

Aim. To assess somatic comorbidity in male and female cohort with stable angina (sA). Material and methods. Into multicenter, simlutaneous cohort-clinical study, 300 men included (mean age 54±0,4 y.o.) and 230 women (mean age 55,7±0,5 y.o.) with sA of I-III functional class. four institutions participated from Ingushetia Republic. Clinical and instrumental assessment included anthropometry, office blood pressure, heart rate, eCG in 12 leads recording. In fasting venous blood we measured total cholesterol (mM/L) and glucose (mM/L). Results. In cohort of patients with sA the most prevalent are cholelythiasis, gastric and duodenal ulcer disease, chronic diseases of pancreas, separately or together; chronic bulbitis is found in each third person, and urinary lythiasis in 15% of cases. Gastric ulcer and duodenal ulcer diseases, chronic bronchitis and urinary lythiasis are two times more prevalent in men compare to women, but cholelythiasis and chronic diseases of pancreas show the same prevalence among men and women. Among women with sA thyroid diseases are 3 times more prevalent than in men. Conclusion. so, in sA patients comorbidity is quite common. Management and prevention in sA patients cohort should be multifactorial taken a broad spectrum of social and demographic parameters, main risk factors and comorbidities. The key role in coordination and realization of all these activities should be granted to an internist of broad spectrum or general care physician.