PubMed Health⌕ Search

Biomedical subjects

V I Baksheev

Publications and source records attributed to V I Baksheev.

14 recordsLinked to original sources
PubMed2006

[Clinical significance of echocardiographic techniques of right heart examination].

Study of the role and function of the right heart and the peculiarities of their remodeling in a range of diseases (heart valvular diseases, pulmonary thromboembolism and its complications, cardiomyopathy, combined cardiorespiratory pathology, heart failure, essential hypertension etc.) is of great scientific and practical interest. An optimal right ventricular (RV) examination should be precise, reflect its function objectively, be feasible in everyday clinical practice, and provide accurate prognosis. The last decade has been marked by search for possibilities to evaluate the systolic and diastolic R Vfunction, especially after clinical introduction of Doppler EchoCG. However, publications dedicated to the protocol of EchoCG study of the RV, the normal values of its structure and function, and their clinical interpretation are still rare. The authors of the present work analyze studies on the investigation of the R V and offer a protocol with a method of calculation of EchoCG parameters and their reference values concerning the right heart.

Cardiomyopathy, Dilated↗
PubMed2005

[Clinical and cost-effect results of the activity of the outpatient "Hypertensive Patient School"].

AIM: To analyse clinical and cost efficacy of 6-year (1999-2005) activity of the outpatient "Hypertensive Patient School" (HPS) at the consultative and diagnostic center N 52 of the RF Ministry of Defense. MATERIAL AND METHODS: A total of 232 hypertensive patients followed up for 2 years were divided into two groups: 120 patients of group 1 participated in the education antihypertensive program at HPS and received combined therapy according to chrono = pharmacology; 112 patients did not attend the HPS and were treated conventionally. RESULTS: The lectures at HPS raised awareness of the patients about their disease and its risk factors from 45.8 to 100% (p < 0.05), compliance from 71.7 to 99.2% (p < 0.001), treatment adequacy from 15.8 to 88.3% (p < 0.01), improved quality of life from 13.3 to 95.0% (p < 0.001), finally resulting in reduction of hypertensive crises and hospitalizations from 32.5 to 2.5% (p < 0.01), side effects frequency from 30.8 to 3.3% (p < 0.05). The cost of outpatient management of one patient fell by 3661.0 roubles. CONCLUSION: Learning at HPS prevents complications of essential hypertension, promotes adequate control over systolic and diastolic pressure, improves quality of life, raises cost efficacy of the disease therapy.

Adult↗
PubMed2004

[Education of patients with arterial hypertension. State of art and prospects].

Training of hypertensive patients is a widely disputable problem. It is shown that education of hypertensive patients and population at risk can effectively prevent hypertension both at population and individual levels. The authors believe that programs designed for the education of hypertensive patients and population have marked drawbacks as they lack consistency, vary in strategy (group or individual learning), methods of teaching (interactive multimedia presentation of the material, self-education according to certain recommendations, video- and audio materials), evaluation of short- and long-term effects (6 and 24 months), patients management, etc. This explains the necessity of further studies into the problem of the approaches to education of the patients and population concerning hypertension.

Cost-Benefit Analysis↗
PubMed2003

[Learning of patients with ischemic heart disease after operations on the coronary arteries at the "School-Club for Coronary Patients"].

Such learning programs as "School-club for Coronary Patients" SCCP) are very important for rehabilitation of outpatients with coronary heart disease (CHD) after reconstructive operations on the coronary vessels. The authors summarize pilot experience gained in the activity of the SCCP at the Consulting and Diagnostic Center set up in 2000. The group of lecturers included a cardiologist, a urologist-andrologist, a physiotherapist, a phytotherapist and others. Participation of a dietitian is desirable. The activity of the SCCP aimed at explanation of the role of risk factors in development and progression of CHD, of the mechanisms of action of the most effective medicines applied in the treatment of CHD and arterial hypertension, teaching CHD patients current methods of non-drug therapy, activation of motivation for successful treatment. The curriculum is designed for 12 lessons which covers information on the structure and function of the cardiovascular system, causes of the onset and progression of CHD, principles of CHD treatments, methods of health restoration after myocardial infarction and operations on the coronary vessels. The response to the questionnaires filled in by the learners who have undergone reconstructive surgery on the coronary vessels show that the number of the learners taking the prescribed drugs regularly raised from 77.1 to 95.8%. The recommended doses were followed by 64.6% instead of 18.8%. The diet was kept by 52.1% patients instead of 29.2%. The number of exercising CHD patients raised from 12.5 to 58.3%. It is evident that training of CHD patients after surgery on the coronary vessels or MI in SCCP is an essential method to improve quality of treatment, prevention of complications, the disease prognosis. This experience should be widely introduced into the practice of outpatient departments.

Coronary Disease↗
PubMed2003

[Clinical and economic effectiveness of the activity of a hypertensive patient school].

The authors propose an original program of learning in the school of a hypertensive patient (SHP) which includes 12 sixty-minute lessons devoted to causes of the disease, cardiovascular complications, methods of their prevention at treatment, and rehabilitation. The analysis of the results of 2-year follow-up showed that most of the learners became informed about the risks of hypertension, better followed recommendations of their doctor, improved their life quality. The number of hypertensive crises and urgent hospitalizations decreased significantly. In the control group of 112 patients no improvement was seen in the level of blood pressure, quality of life and prognosis. Moreover, learning in the SHP proved highly cost-effective.

Follow-Up Studies↗
PubMed2002

[Outpatient self-monitoring of arterial pressure].

Approaches to home self-monitoring of arterial pressure (AP) are reviewed. Such monitoring is cost effective, facilitates adjustment of antihypertensive treatment, assessment of the response. The perspectives of AP self-monitoring lie in learning at "schools for hypertensive patients" that promotes control of hypertension using regular adequate treatment; in design of standards for such monitoring, in perfection of its techniques; in application of monitoring results in cardiovascular research.

Ambulatory Care↗