Ischemic Heart Disease and Related Diseases in People of the Older Age Group: Predicting Life Expectancy
Purpose. Determination of the prognostic value of the main concomitant diseases of the internal organs in patients with ischemic heart disease (IHD) in the elderly and senile age. Materials and methods. Retrospective analysis of the medical history was performed and a sample of 236 patients with coronary heart disease older than 60 years, who were observed at the Institute of Gerontology named after D.F. Chebotarev of the NAMS of Ukraine in the period 1997-2019 and died as a result of a cardiovascular event.Results. The development of concomitant diseases (arterial hypertension (AH), type 2 diabetes mellitus (DM), chronic obstructive pulmonary disease (COPD), and dyslipidemia) has a significant impact on reduction of life expectancy in patients with IHD in the older age groups. Moreover, AH and DM have the greatest negative impact on life expectancy in patients with IHD of the elderly and senile age. Dyslipidemia and COPD reduce the life expectancy in patients with ischemic heart disease of the elderly and senile age slightly less. Conclusions. The developed mathematical models for predicting the life expectancy of patients with IHD of the elderly and senile age can be used in clinical practice in the treatment and diagnostic process to assess the effectiveness of treatment and rehabilitation measures, as well as to develop prevention programs.