Influence of concomitant diseases on health resort treatment in patients with coronary heart disease

Aim. To study the influence of concomitant diseases on health resort treatment of patients with coronary heart disease in recreation period.

Methods. The study performed in «Bilgah» cardiologic resort, which applies the standards of health resort treatment. General sample included 3421 patients with confirmed diagnosis of «coronary heart disease». Patients were grouped according to the number of concomitant diseases (0, 1, 2, 3 or more). In each group, the frequency of prescribing the certain treatment methods was determined.

Results. The vast majority (94.5±0.4%) of patients with coronary heart disease had one or more associated chronic diseases. The proportion of patients with 1, 2, 3, 4, 5, 6 or more chronic diseases was 60.3±0.8; 13.7±0.6; 6.0±0.4; 5.5±0.4; 5.1±0.4 and 0.3±3.9% respectively. In addition to the main disease, a patient had 1.77 compensated chronic diseases in average. There were 56.4±0.85 cases of arterial hypertension, 29.7±0.78 cases of respiratory diseases, 26.8±0.76 cases of gastrointestinal diseases (excluding dental and other diseases of the oral cavity), 23.7±0.73 cases of genitourinary diseases, 18.6±0.66 cases of musculoskeletal system diseases, 9.2±0.49 cases of diabetes on average in 100 patients. In 100 patients with coronary heart disease and 1, 2, 3-4, 5 or more chronic comorbidities were administered 474.8, 524.5, 542.4 and 617.7 treatment methods, respectively.

Conclusion. In patients with coronary heart disease, comorbidities are often identified, requiring administration of additional treatment methods, indicating that polymorbidity is an objective reason for the increased volume of medical services at health resort treatment.