The complexity of the diagnosis of pneumonia in patients with acute vascular events
- Authors: Odintsova D.V.1, Malyavin A.G.2, Zairatyants O.V.2
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Affiliations:
- Department of phthisiology and pulmonology
- A.I. Yevdokimov Moscow State University of medicine and dentistry
- Issue: No 1 (2017)
- Pages: 20-25
- Section: Articles
- URL: https://journals.eco-vector.com/2412-4036/article/view/277596
- ID: 277596
Cite item
Open Access
Access granted
Abstract
Study objective. To evaluate the clinical and laboratory and instrumental signs of pneumonia in patients with acute myocardial infarction and acute ischemic stroke. Study design. A retrospective analysis. Materials and methods. Authors reviewed archive data of 140 autopsy reports and medical histories of patients died from cardiovascular events to determine the frequency of pneumonia. The statistical analysis was used to associate fever, auscultatory changes, leukocytosis, chest radiography with pneumonia. Results and discussion. The study included 140 patients, of whom 84 (60.0%) with stroke in ischemic type 33 (23.6%) with stroke hemorrhagic type, and 23 (16.4%) with acute myocardial infarction. In patients with pneumonia auscultatory changes were in 86% of cases, fever in 87% of patients, leukocytosis in 87% of cases. Chests radiography changes of pneumonia were in 29 cases, and they were all patients with confirmed pneumonia in a retrospective analysis. Conclusion. Hyperthermia, leukocytosis and chest radiography changes were significantly more frequently encountered in patients with pneumonia, but their absence does not exclude pneumonia in patients with cardiovascular events.
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About the authors
Dina V. Odintsova
Department of phthisiology and pulmonology
Email: dina-odin@yandex.ru
postgraduate student
Andrey G. Malyavin
A.I. Yevdokimov Moscow State University of medicine and dentistry
Email: maliavin@mail.ru
MD, professor, Department of phthisiology and pulmonology
Oleg V. Zairatyants
A.I. Yevdokimov Moscow State University of medicine and dentistry
Email: ryaboschtanova@rambler.ru
MD, professor, head of the Department of pathological anatomy
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