Сравнительная оценка результатов хирургического лечения ишемической болезни сердца у больных молодого (до 45 лет) возраста и у больных в возрасте 70 лет и старше

Objectives. Achievements in coronary surgery are possible to significantly reduce the operative mortality in different age groups of patients with coronary heart disease (CHD) and improve long-term results of surgical treatment. In this regard, the aim of our study was a comparative evaluation of the immediate and long-term results of surgical treatment in groups of patients with coronary heart disease before the age of 45 years and 70 years of age or older. Material and methods. A comparative analysis of the results of surgical treatment of the two groups of patients with coronary artery disease patients under the age of 45 years (115 patients) and patients aged 70 years and older (53) was done. The age of patients up to 45 years ranged from 30 to 45 years, the average was 41.6+3.5 years. Age of the patients of the second group (patients 70 years and older) was 70-78 years, the average was 72.7+2.6 years. Results. Despite a number of features of the clinical course of coronary heart disease, immediate results, namely, inhospital mortality were not significantly different 2.6 % in patients of the first group and 1.9 % in patients of the second group. Remote 6-year survival rate was high in both groups and was 96.3 % in the younger patients and 93.0 % in patients aged 70 years and older (p=0.7). Relapse occurred in 20.6 % of patients in the first group and in 21.4 % of patients of the second group (p=0.48). At the same time, we have statistically significant difference in the stability of the clinical outcome between groups (p=0.048). In the group of young patients with a 6-year stability of clinical results was 58.0 %, in the group of patients aged 70 years and older it was higher 76.0 %. Conclusion. Thus, the comparative analysis of the results of surgical treatment of young patients and patients aged 70 years and older showed that for these groups of patients, despite the severe clinical manifestations of coronary heart disease, were characterized by the low in-hospital mortality and high 6-year survival rate. However, due to a number of reasons the stability of the clinical results was higher in patients over the age of 70 years that need to be taken into account in the course of surgical treatment.