Ischemic heart disease and reflux-esophagitis: complexities of the differential diagnosis and treatment.
The aim of review. To illuminate state-of-the-art of issue of ischemic heart disease and reflux-esophagitis combination and options of treatment of comorbide patients.Original positions. Ischemic heart disease (IHD) and reflux-esophagitis (RE) are one of the most frequent diseases of cardio-vascular...
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Gastro LLC
2011-05-01
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Series: | Российский журнал гастроэнтерологии, гепатологии, колопроктологии |
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Online Access: | https://www.gastro-j.ru/jour/article/view/1404 |
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author | Yu. N. Belenkov Ye. V. Privalova A. O. Yusupova M. V. Kozhevnikova |
author_facet | Yu. N. Belenkov Ye. V. Privalova A. O. Yusupova M. V. Kozhevnikova |
author_sort | Yu. N. Belenkov |
collection | DOAJ |
description | The aim of review. To illuminate state-of-the-art of issue of ischemic heart disease and reflux-esophagitis combination and options of treatment of comorbide patients.Original positions. Ischemic heart disease (IHD) and reflux-esophagitis (RE) are one of the most frequent diseases of cardio-vascular and alimentary systems. Common risk factors play important role in high prevalence of comorbide course of IHD and RE. Close anatomic position and common innervation of the heart and the esophagus trigger effect of gastroesophageal reflux on coronary vasoconstriction and disorders of heart rhythm at patients with IHD. Present studies show treatment effect, aimed on RE, at patients with IHD: decrease in number of myocardial ischemia and arrhythmia attacks. Application of prokinetics in complex treatment of RE at IHD patients is pathogenically proven. Combination of diseases requires long treatment, dictates necessity of choice of the safe agent, having no negative effect on the course of IHD.Conclusion. Mutual effect on development and progression of symptoms of cardio-vascular and alimentary diseases causes not only certain diagnostic difficulties, but also necessitates search for improvement of diagnostic and treatment methods in comorbide patients with IHD and RE. |
format | Article |
id | doaj-art-436ad7c792974ba1b45b62e5050d7d49 |
institution | Kabale University |
issn | 1382-4376 2658-6673 |
language | Russian |
publishDate | 2011-05-01 |
publisher | Gastro LLC |
record_format | Article |
series | Российский журнал гастроэнтерологии, гепатологии, колопроктологии |
spelling | doaj-art-436ad7c792974ba1b45b62e5050d7d492025-02-10T16:14:31ZrusGastro LLCРоссийский журнал гастроэнтерологии, гепатологии, колопроктологии1382-43762658-66732011-05-01213412951Ischemic heart disease and reflux-esophagitis: complexities of the differential diagnosis and treatment.Yu. N. Belenkov0Ye. V. Privalova1A. O. Yusupova2M. V. Kozhevnikova3ГОУ ВПО «Первый Московский государственный медицинский университет им. И.М. Сеченова»ГОУ ВПО «Первый Московский государственный медицинский университет им. И.М. Сеченова»ГОУ ВПО «Первый Московский государственный медицинский университет им. И.М. Сеченова»ГОУ ВПО «Первый Московский государственный медицинский университет им. И.М. Сеченова»The aim of review. To illuminate state-of-the-art of issue of ischemic heart disease and reflux-esophagitis combination and options of treatment of comorbide patients.Original positions. Ischemic heart disease (IHD) and reflux-esophagitis (RE) are one of the most frequent diseases of cardio-vascular and alimentary systems. Common risk factors play important role in high prevalence of comorbide course of IHD and RE. Close anatomic position and common innervation of the heart and the esophagus trigger effect of gastroesophageal reflux on coronary vasoconstriction and disorders of heart rhythm at patients with IHD. Present studies show treatment effect, aimed on RE, at patients with IHD: decrease in number of myocardial ischemia and arrhythmia attacks. Application of prokinetics in complex treatment of RE at IHD patients is pathogenically proven. Combination of diseases requires long treatment, dictates necessity of choice of the safe agent, having no negative effect on the course of IHD.Conclusion. Mutual effect on development and progression of symptoms of cardio-vascular and alimentary diseases causes not only certain diagnostic difficulties, but also necessitates search for improvement of diagnostic and treatment methods in comorbide patients with IHD and RE.https://www.gastro-j.ru/jour/article/view/1404ischemic heart diseasereflux-esophagitisdisorders of heart rhythmgastroesophageal refluxprokineticsitopride |
spellingShingle | Yu. N. Belenkov Ye. V. Privalova A. O. Yusupova M. V. Kozhevnikova Ischemic heart disease and reflux-esophagitis: complexities of the differential diagnosis and treatment. Российский журнал гастроэнтерологии, гепатологии, колопроктологии ischemic heart disease reflux-esophagitis disorders of heart rhythm gastroesophageal reflux prokinetics itopride |
title | Ischemic heart disease and reflux-esophagitis: complexities of the differential diagnosis and treatment. |
title_full | Ischemic heart disease and reflux-esophagitis: complexities of the differential diagnosis and treatment. |
title_fullStr | Ischemic heart disease and reflux-esophagitis: complexities of the differential diagnosis and treatment. |
title_full_unstemmed | Ischemic heart disease and reflux-esophagitis: complexities of the differential diagnosis and treatment. |
title_short | Ischemic heart disease and reflux-esophagitis: complexities of the differential diagnosis and treatment. |
title_sort | ischemic heart disease and reflux esophagitis complexities of the differential diagnosis and treatment |
topic | ischemic heart disease reflux-esophagitis disorders of heart rhythm gastroesophageal reflux prokinetics itopride |
url | https://www.gastro-j.ru/jour/article/view/1404 |
work_keys_str_mv | AT yunbelenkov ischemicheartdiseaseandrefluxesophagitiscomplexitiesofthedifferentialdiagnosisandtreatment AT yevprivalova ischemicheartdiseaseandrefluxesophagitiscomplexitiesofthedifferentialdiagnosisandtreatment AT aoyusupova ischemicheartdiseaseandrefluxesophagitiscomplexitiesofthedifferentialdiagnosisandtreatment AT mvkozhevnikova ischemicheartdiseaseandrefluxesophagitiscomplexitiesofthedifferentialdiagnosisandtreatment |