Comorbidities in clinical practice. Algorithms for diagnostics and treatment

  title={Comorbidities in clinical practice. Algorithms for diagnostics and treatment},
  author={R. G. Oganov and Vladimir I. Simanenkov and Igor G. Bakulin and Natalya V. Bakulina and Olga Leonidovna Barbarash and Sergey A. Boytsov and Svetlana A. Boldueva and N. P. Garganeeva and V. L. Doshchitsin and Andrei E. Karateev and Yu. V. Kotovskaya and A. M. Lila and M. M. Lukyanov and T. E. Morozova and Anton P. Pereverzev and Marina M. Petrova and Yu. M. Pozdnyakov and A. V. Syrov and A. V. Tarasov and Olga N. Tkacheva and S. A. Shalnova},
  journal={Cardiovascular Therapy and Prevention},
Management of patients with digestive diseases during the COVID-19 pandemic: Clinical Practice Guidelines by the Gastroenterological Scientific Society of Russia
The presented clinical practice guidelines of the Gastroenterological Scientific Society of Russia (GSSR), diagnostic, and therapeutic approaches for patients with digestive diseases during the
Features of the course of myocardial infarction in the elderly
The management of elderly patients is an urgent problem in modern medicine and cardiovascular disease is a major contributor to morbidity, mortality and quality of life in people aged 60 and over.
Management of patients with comorbidity during novel coronavirus (COVID-19) pandemic. National Consensus Statement 2020
The presented consensus covers these two aspects of managing patients with cardiovascular disease, diabetes, chronic obstructive pulmonary disease, gastrointestinal disease, and also pay attention to the multiple organ complications of COVID-19.
Comorbidity of irritable bowel syndrome and obesity
A clinical investigation of 53 patients conducted to identify potential mechanisms of comorbidity of obesity and irritable bowel syndrome finds patients with a combination of these diseases are more likely to experience impaired fasting glycemia, pronounced and emotionally colored complaints on the internal organs.
Comorbid patient with GERD and cardiovascular disease receiving antiplatelet therapy. The possibilities of choosing a proton pump inhibitor on a case study
Given the polymorbidity of patients and polypragmasia, the practitioner should strive to prescribe drugs with the lowest risk of drug interactions, which are met by PPI rabeprazole, the metabolism of which is predictable.
Metabolic syndrome and cardiovascular pathology: focus on non-alcoholic fatty liver disease
The article analyzes the clinical effects of non-alcoholic fatty liver disease on the heart and blood vessels: atherosclerosis, myocardial remodeling, rhythm and conduction disorders, and chronic heart failure.
MALT lymphoma and erosive and ulcerative lesions of the stomach: modern diagnostic approaches and own clinical observation
The alertness of the endoscopist and the use of integrated approaches to endoscopic diagnosis, taking into account the existing criteria for differential diagnosis, will undoubtedly improve the results of treatment.
“Gastrointestinal” comorbidity in irritable bowel syndrome
Modern information on the gastrointestinal comorbidity of a patient with IBS is presented and it is advisable to prescribe drugs that affect the general links of pathogenesis, rather than focusing on individual symptoms.
Elderly with chronic kidney disease in  outpatient treatment: risk factors and prevention pathways
The main causes of CKD among patients in this age group were not kidney diseases but comorbide pathology, primarily arterial hypertension, and nephroprotective therapy was not fully available to patients.
An Integrated Approach to the Management of a Multimorbid Patient with Atrial Fibrillation from the Standpoint of Modern Guidelines: Rivaroxaban is in Focus
The efficacy profile of rivaroxaban in the prevention of acute cerebrovascular accident and high safety rates were confirmed in a population of multimorbid AF patients of different ages and the highest risk of stroke and / or bleeding.


[Guidelines on cardiovascular disease prevention in clinical practice].
These recommandations are largely based on the "European Guidelines on Cardiovascular Disease Prevention in Clinical Practice" proposed by the "Third Joint Task Force of European and other Societies
2018 ESC/ESH Guidelines for the management of arterial hypertension.
New guidelines for the management of arterial hypertension focus on improving the diagnosis and treatment of hypertension and promoting simple and effective treatment strategies, for poorly controlled blood pressure (BP).
NSAID-induced Gastrointestinal Injury: A Focused Update for Clinicians.
  • J. Scheiman
  • Medicine
    Journal of clinical gastroenterology
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The injury induced by these agents throughout the GI tract is discussed as well as strategies to prevent acute injury and reduce the development of serious adverse events.
Practical geriatric assessment
Practical tools to assess function and conditions that impact function in a busy clinic setting are presented and healthcare providers are encouraged to use these tools to help care for their older patients, all while keeping in mind individual patient function, safety and goals of care.
Neuropsychiatric syndromes in patients with systemic lupus erythematosus and rheumatoid arthritis.
NP syndromes, regardless of etiology, are common in both SLE and RA patients, and depression scores were significantly higher in SLE patients with a history of cumulative NP events compared to RA patients with NP events.
Barbara Farrell, BScPhm, PharmD, FCSHP, ( is a pharmacist with the Bruyère Continuing Care Geriatric Day Hospital; clinical and research coordinator for the Pharmacy Department,
Functional Dyspepsia in Review: Pathophysiology and Challenges in the Diagnosis and Management due to Coexisting Gastroesophageal Reflux Disease and Irritable Bowel Syndrome
Diagnostic testing such as pH impedance manometry of the distal esophagus to the current common diagnostic tests might be helpful in distinguishing between functional dyspepsia and reflux disease.
Frailty in older adults: evidence for a phenotype.
This study provides a potential standardized definition for frailty in community-dwelling older adults and offers concurrent and predictive validity for the definition, and finds that there is an intermediate stage identifying those at high risk of frailty.
International prevalence, recognition, and treatment of cardiovascular risk factors in outpatients with atherothrombosis.
This large, international, contemporary database shows that classic cardiovascular risk factors are consistent and common but are largely undertreated and undercontrolled in many regions of the world.