ANALYSIS OF INTERDEPENDENCE BETWEEN THE DEVELOPMENT OF CHRONIC RENAL DESEASE OF SENIOR AGE PATIENTS WITH CARDIOVASCULAR ABNORMITY. TASKS FOR OUTPATIENT TREATMENT WITHIN EARLY RECOGNITION AND PREVENTION
Objective. To study the periodicity of development and expedience of uncovering of chronic renal disease (CRD) of senior age patients possessing cardiovascular abnormity. Patients and methodology. In the article, the authors present examination types of 899 analysands being of age from 50 to 90 years old and even older. RESULTS. The analysis of the received data showed that from the general quantity of analysands of the senior age group, possessing cardiovascular abnormality possess the features of renal disease with renal nephatony, uncovered for the first time during the examination. The comparative analysis of the level of creatinine (CRNN) and glomerular filtrate rate (GFR) of the examined analysands showed, that 88,9 % had satisfactory (in a norm) index of serum creatinine while GFR of the same analysands tended to decrease. That fact proves that chronic renal disease quite often proceeds without significant clinical evidence and only represents itself by decreasing GFR. 43,7% of examined analysands from this group had microalbuminuria. And only with 0,8 % (49 individuals) it was disclosed as a predominant diagnosis providing a rationale for chronical renal disease. Conclusion: all analysands with cardiovascular abnormality possess a high risk of the development of chronic renal disease; The level of CRNN of analysands possessing basic non-renal pathology is not always a reflection of the development of chronic renal disease; While screening the patients with cardiovascular pathology, it is necessary to make urine examination for albuminuria and hemanalysis to uncover anaemia; Detection of GFR should become a constituent part of a mandatory standard of examination of patients with cardiovascular disease by primary care physicians.