Cerebral venous discirculation in patients with chronic obstructive pulmonary disease in acute stage


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Systemic venous dyscirculation frequently accompanies chronic obstructive pulmonary disease (COPD). There is evidence of its significant contribution to encephalopathy, but the degree of venous outflow disturbances and their association with clinical symptoms have been insufficiently studied. Purpose: clinical and instrumental assessment of the presence and severity of cerebral venous dyscirculation in patients with COPD in the acute stage. Material and methods. 100 patients with mild and severe chronic obstructive pulmonary disease were investigated in the stage of aggravation. The comparison group included 50 patients with the confirmed absence of respiratory disorders. Complaints, neurological examination, assessment of external respiration function, cardiorespiratory monitoring, duplex scanning were performed. Results. Significant increase of maximal flow velocities along the vertebral plexuses and orbital veins were revealed in COPD patients, as well as reliable strong correlations with the volume of FEV1. Among the complaints associated with venous dyscirculation was daytime sleepiness and possibly difficulty waking up. Conclusion. The presence of cerebral venous dyscirculation in the early stages of COPD development and its association with some complaints of patients is confirmed.

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作者简介

Kristina Sargsyan

A.I. Yevdokimov Moscow State University of Medicine and Dentistry of the Ministry of Healthcare of Russia; Moscow Multidisciplinary Clinical Center «Kommunarka» of the Department of Healthcare of Moscow

Email: kriny@70mail.ru
head of the Department of neurology 127473, Moscow, 20/1 Delegatskaya Str

Igor Stulin

A.I. Yevdokimov Moscow State University of Medicine and Dentistry of the Ministry of Healthcare of Russia

Dr. med. habil., professor, until 2021 - head of the Department of nervous diseases of the Faculty of general medicine

Rashit Musin

A.I. Yevdokimov Moscow State University of Medicine and Dentistry of the Ministry of Healthcare of Russia

Email: rashel.63@mail.ru
Dr. med. habil., professor of the Department of nervous diseases of the Faculty of general medicine 127473, Moscow, 20/1 Delegatskaya Str

Andrey Malyavin

A.I. Yevdokimov Moscow State University of Medicine and Dentistry of the Ministry of Healthcare of Russia

Email: maliavin@mail.ru
Dr. med. habil., professor of the Department of phthisiology and pulmonology of the Faculty of general medicine 127473, Moscow, 20/1 Delegatskaya Str

Sergei Trukhanov

A.I. Yevdokimov Moscow State University of Medicine and Dentistry of the Ministry of Healthcare of Russia

Email: severyaninpage@mail.ru
PhD in Medicine, associate professor of the Department of nervous diseases of the Faculty of general medicine 127473, Moscow, 20/1 Delegatskaya Str

Zemfira Bekoeva

Centrosoyuz Hospital of the Russian Federation

Email: bekoevaz@mail.ru
head of Neurological Department for patients with acute disorders of cerebral circulation 108814, Moscow, 8 Sosensky stan Str

Fedor Seleznev

A.I. Yevdokimov Moscow State University of Medicine and Dentistry of the Ministry of Healthcare of Russia

Email: seleznevfa@gmail.com
PhD in Medicine, assistant at the Department of nervous diseases of the Faculty of general medicine 127473, Moscow, 20/1 Delegatskaya Str

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