CardioSomatics

BACKGROUND: A survey of patients who completed outpatient rehabilitation after acute myocardial infarction (AMI) revealed several deficiencies in the accessibility and quality of this service. A follow-up survey after addressing these deficiencies was conducted to determine the extent of improvement in these parameters.

AIM: To study changes in the accessibility and quality of outpatient rehabilitation based on follow-up survey data from patients who completed rehabilitation after AMI.

METHODS: In 2024, we surveyed 120 patients (98 men, 22 women) who had completed outpatient rehabilitation after AMI using a 20-item questionnaire designed to identify deficiencies in accessibility and quality of care. In 2025, we re-surveyed 120 patients (86 men, 34 women) using the same questionnaire to assess changes in rehabilitation service organization.

RESULTS: In 2025, compared with 2024, there was a significant increase in the number of patients satisfied with the completeness of rehabilitation information provided by their physician (from 99 [82.5%] to 115 [95.8%]; p = 0.001), those who rated physical rehabilitation methods positively (from 98 [81.7%] to 109 [90.8%]; p = 0.039), those who considered lifelong secondary prevention necessary (from 86 [71.7%] to 104 [86.7%]; p = 0.004), and those willing to use telemedicine or wearable digital devices in the future (from 58 [48.3%] to 75 [62.5%]; p = 0.027). Regarding the rehabilitation process, the number of patients reporting difficulty reaching the clinic by phone decreased (from 26 [21.7%] to 12 [10.0%]; p = 0.013), as did the number reporting a waiting list for hospitalization (from 29 [24.2%] to 17 [14.2%]; p = 0.049).

CONCLUSION: These findings suggest that patient surveys can significantly improve the accessibility and quality of outpatient rehabilitation organization after AMI.

BACKGROUND: Triglycerides are a key component of lipid metabolism and play an important role in the development of cardiometabolic syndrome, a cluster of cardiovascular risk factors. Identifying correlations between triglyceride levels and other cardiometabolic parameters has great scientific and practical value.

AIM: To study the correlations between triglycerides and other cardiometabolic parameters in patients with hypertriglyceridemia.

METHODS: This retrospective study included 693 cardiovascular patients aged 18 to 90 years with hypertriglyceridemia. Spearman rank correlation coefficient was used to assess correlations, and the strength of associations was interpreted using Chaddock scale.

RESULTS: Significant correlations between triglycerides and the following cardiometabolic parameters were found: body weight (r = 0.21, p < 0.001), body mass index (r = 0.23, p < 0.001), visceral fat index (r = 0.784, p < 0.001), waist circumference (r = 0.111, p = 0.045), METS-IR index (r = 0.358, p < 0.001), plasma atherogenicity index (r = 0.815, p < 0.001), glucose (r = 0.142, p = 0.001), HOMA-IR index (r = 0.20, p = 0.004), fasting insulin (r = 0.471, p < 0.001), total cholesterol (r = 0.265, p < 0.001), high-density lipoprotein cholesterol (r = −0.266, p < 0.001), very low-density lipoprotein cholesterol (r = 0.965, p < 0.001), remnant cholesterol (r = 0.511, p < 0.001), and uric acid (r = 0.189, p < 0.001).

CONCLUSION: Triglycerides are key to the pathogenesis of cardiometabolic syndrome, interacting with other components through complex lipid and carbohydrate metabolic pathways. Elevated serum triglyceride levels are associated with abdominal obesity, type 2 diabetes mellitus, and arterial hypertension. Hypertriglyceridemia is also associated with elevated blood pressure, total cholesterol, and very low-density lipoprotein levels. Triglycerides correlate with all components of cardiometabolic syndrome, most likely through insulin resistance, which should be considered in the comprehensive management of these patients. Further research in this area is needed.

This paper presents a narrative review of Russian and international studies on the current problems in the organization of pediatric resuscitation and potential solutions. We characterize the causes of acute and chronic critical illnesses in children that require admission to the intensive care unit. Significant progress has been made in pediatric critical care: whereas the previous goal was to reduce mortality in pediatric patients, the current priority is improving the quality of life of surviving children and their families.

However, several key issues remain debated: optimal indications for extracorporeal cardiopulmonary resuscitation, choice of infusion solutions and pharmacotherapy in neonatal resuscitation, and standardization of nutritional support and sedation protocols. The number of children with chronic critical illnesses has increased; their prolonged ICU stays are associated with higher healthcare costs and worse outcomes. A systematic, multidisciplinary approach, supported by international and national clinical guidelines and diagnostic algorithms, is essential. Synthesis of the available data helps identify priority areas for further research on the organization of pediatric critical care. This review may be of interest to critical care physicians, pediatricians, and healthcare administrators.

BACKGROUND: Recurrent pericarditis requires a comprehensive evaluation to rule out infectious, autoimmune, and oncological conditions. Idiopathic recurrent pericarditis is considered an autoinflammatory disease and is not characterized by specific immunological disorders, particularly autoantibody production. Given the rarity of true idiopathic pericarditis, a thorough search for an underlying cause is essential, especially when markers suggestive of autoimmune or malignant disease are present.

CASE DESCRIPTION: We present a case of recurrent pericarditis in an elderly male patient. The case is notable for repeated detection of immunological markers typical of systemic connective tissue diseases, along with recurrent lymphadenopathy. Despite ongoing follow-up, no specific underlying etiology could be identified, and the diagnosis was established as idiopathic recurrent pericarditis. With continuous colchicine therapy at 1 mg/day for 6 months, no further pericarditis recurrences occurred. The patient tolerates the treatment well, and no adverse effects have been reported. Follow-up is ongoing.

CONCLUSION: This case highlights the diagnostic challenges of recurrent pericarditis and underscores the need for a multidisciplinary approach involving cardiologists, rheumatologists, oncologists, and other specialists.