EVALUATION OF THE QUALITY OF LIFE AFTER REVASCULARIZATION AND RECONSTRUCTIVE OPERATIONS ON MITRAL VALVE IN PATIENTS WITH CORONARY HEART DISEASE.

Studies of recent years confirm the importance of assessing the health status and quality of life of patients suffering from coronary heart disease. The aim of the study was to determine the quality of life in patients who underwent isolated coronary artery bypass grafting and coronary artery bypass grafting in combination with reconstructive operations on the mitral valve in the long-term postoperative period.; During the period from 2015 to 2018, 132 patients with ischemic heart disease with low left ventricular ejection fraction was evaluated in our center. In 30 (22.7±3.65%) patients, isolated CABG was performed according to the generally accepted methods; in 77 (58.3±4.29%) patients, concomitant reconstructive operations along with CABG were performed according to various indications. 70 out of 102 survived patients completed information included in the SF-36 questionnaire. Patients were divided into 2 groups according to the surgical procedure: group I - 20 patients who underwent isolated CABG, group II - 50 patients who underwent CABG + reconstructive operations on the mitral valve and its elements. In the late postoperative period (5 years of follow-up), the questionnaire the SF-36 Health Status Survey (SF-36) were used to determine QOL.; In patients who underwent isolated CABG, the functional class improved by 100%; and after CABG + reconstructive operations - by 88.4%. In the long-term postoperative period after isolated CABG, vital signs improved by 3.2 points in comparison with the preoperative level and by 9.3 points after CABG + reconstructive operations. After surgery, in patients who have undergone isolated CABG, disability of the II group was reduced by 35% and after CABG + reconstructive operations by 3%.; Evaluation of the quality of life after revascularization for coronary heart disease using the SF-36 questionnaire allows to obtain adequate results. In the late postoperative period in patients undergoing CABG the quality of life improves both in physical and psychological aspects.