Medicina
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[Association of metabolic syndrome with ischemic heart disease among middle-aged Kaunas population].
The aim of the present study was to estimate an association of metabolic syndrome with ischemic heart disease (IHD) in middle-aged Kaunas population. ⋯ In the study population cohort prevalence of metabolic syndrome was 19.4% for men and 26.3% for women, prevalence of IHD--14.3% and 19.4%, respectively. Prevalence of metabolic syndrome and IHD among men and women increased with age. Comparing prevalence of metabolic syndrome among persons with IHD and without IHD, in the groups of men and women aged 35-44 years metabolic syndrome was not associated with IHD; in the group of men with IHD aged 45-64 years rate of metabolic syndrome was 1.8 times higher than among persons without IHD (odds ratio: 2.25 (95% CI 1.24-4.06)); in the group of women with IHD aged 45-64 years the rate of metabolic syndrome was marginally higher (1.3 times) than among women without IHD (odds ratio: 1.55 (95% CI 0.99-2.43)). The highest rate of metabolic syndrome was determined for men diagnosed with angina pectoris (odds ratio: 3.39 (95% CI 1.36-8.41)). In conclusion, study data showed that metabolic syndrome was associated with IHD in men aged 45-64 years.
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Comparative Study
[Prevalence of cataract in 35-64 years old Kaunas city population].
The aim of the study was to determine the prevalence of lens opacity among 35-64 years old Kaunas population as well as to evaluate the stage and type of age-related cataract and its distribution in the groups of age and gender. ⋯ The lens opacities were found in 17.8% of males and 18.6% of females among investigated 35-64 years old population of Kaunas city. In the groups of both genders domination of nuclear cataract and the 1st stage of all forms of cataract was observed. The incidence of cataract increases significantly with age.
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Comparative Study
[Prevention of intestinal ischemia after abdominal aortic reconstructive surgery].
The aim of this study was to estimate rate of intestinal ischemic complications after abdominal aortic reconstructive surgery, to evaluate risk factors and to provide means of prevention of complication. ⋯ Study group consisted of 172 patients who underwent aortic reconstruction in 2000-2003 in the Department of Vascular Surgery of Kaunas University of Medicine Hospital. Six patients underwent intestinal ischemia in the postoperative period, i. e. 3.5%; four of them died. This indicated that 13% of patients died after abdominal aortic surgery. Ninety-four patients underwent operation for aortoiliac occlusive disease, colon ischemia occurred in 1 case (1.1%). Seventy-eight patients underwent abdominal aortic aneurysm; 33 patients -- ruptured aneurysm, and 45 -- aneurysm without rupture. In ruptured abdominal aortic aneurysm group with III degree colon ischemia there were 3 cases (9.1%); 2 of them died, which formed 11% of all deaths in this group. In the group of non-ruptured abdominal aortic aneurysm with III degree colon ischemia there were 2 cases (4.4%). Both patients died, which formed 50% of all deaths in this group. For all patients operated for abdominal aortic aneurysm, a. mesenterica inferior stump pressure was evaluated. In case of stump pressure 50 mmHg and more a. mesenterica inferior was ligated. If pressure was lower than 50 mmHg a. mesenterica inferior was reimplanted into vascular graft. Forty-nine reconstructions of a. mesenterica inferior were made in abdominal aortic aneurysm group: 25 in ruptured cases, and 24 in non-ruptured cases. Despite the fact that a. mesenterica inferior was reconstructed, 2 patients had colon ischemia after this reconstruction in the group of ruptured aneurysm. In the group of non-ruptured aneurysm, colon ischemia developed only after ligation of a. mesenterica inferior. We conclude that a. mesenterica inferior is very important for normal circulation of left colon. Correct evaluation of preoperative aortography, correct operative strategy, and reimplanted a. mesenterica inferior if it is necessary -- are the main means of colon ischemia prevention after abdominal aortic surgery.