Obliterating atherosclerosis of lower extremities — an invaluable hazard in diabetes mellitus

May 8, 2018
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Resume

Cardiovascular diseases are the main cause of disability and mortality of people of all ages and sexes in many countries of the world, including Ukraine and diabetes mellitus is one of the leading risk factors of their development. The presented clinical case, in our opinion, demon­strates a possible outcome of such a serious disease as obliterating atherosclerosis of arteries of lower extremities in elderly patients with type 2 diabetes mellitus due to the lack of early diagnostic of diabetic and atherosclerotic vascular lesions. Despite the implementation of the adequate complex therapy, it is not always possible to avoid an amputation of the affected limb. Thus, the basis of modern medical and social assistance should be the early diagnosis and prevention of this pathology.

O.V. Prybyla, O.V. Zinych, G.O. Melua

Key words: diabetes mellitus, atherosclerosis, cardiovascular disease.

Published: 15.05.2018

References:

  • Batakov S.S., Hmelniker S.M. (2003) Lechenie ostroy arterialnoy neprohodimosti bryushnoy aortyi i arteriy konechnostey. Zdravoohranenie Urala, 7: 22–24.
  • Dryuk N.F., Karpenko L.N., Turaev P.I. (1991) Puti uluchsheniya rezultatov lecheniya ostroy neprohodimosti aortyi i magistralnyih arteriy konechnostey u bolnyih pozhilogo i starcheskogo vozrasta. Klin. hir., 7: 1–5.
  • Zatevahin I.I., Zolkin V.N., Melnichenko A.Yu. (2004) Ostraya arterialnaya neprohodimost: nash opyit. Materialyi 15-y Mezhdunar. konf. Ros. obschestva angiologov i sosudistyih hirurgov. Petrozavodsk — Kondopoga, s. 98–100.
  • Zatevahin I.I., Tsitsiashvili M.Sh., Zolkin V.N. (2002) Ostraya arterialnaya neprohodimost. Klinicheskaya klassifikatsiya i taktika lecheniya. Angiologiya i sosudistaya hirurgiya, 2: 74–77.
  • Kovaleva O.N. (2010) Ishemicheskaya bolezn serdtsa i metabolicheskiy sindrom — opasnyiy tandem. Novosti meditsinyi i farmatsii (http://www.mif-ua.com/archive/article/11948).
  • Kulikov V.A. (2012) Fremingemskoe issledovanie serdtsa: 65 let izucheniya prichin ateroskleroza. VGMU, 11(2): 16–24.
  • Panov A.V., Laevskaya M.Yu. (2003) Saharnyiy diabet tipa 2 i ateroskleroz: taktika gipolipidemicheskoy terapii. Consilium medicum, 4(11): 560–564.
  • Savelev V.S. (1974) Klassifikatsiya ostroy arterialnoy ishemii (http://pro-medica.ru/klassifikatorm/surgeryclassificm/583-klassifikatsiya-ostroj-arterialnoj-ishemii-v-s-savelev-1974-g).
  • Tregubenko A.I., Paykin A.E. (1991) Oshibki, opasnosti i oslozhneniya pri hirurgicheskom lechenii embolii i tromboza magistralnyih arteriy konechnosti. Ekstrennaya rekonstruktivnaya sosudistaya hirurgiya. Moskva, s. 127–128.
  • Stoffers H., Kaiser V., Knottnerus J.A. (1992) Prevalence in the general practice. In: F.G.R. Fowkes (Ed.) Epidemiology of peripheral vascular disease. Springer, London, 109–113 рр.