DISEASE HISTORY OF A COMORBID PATIENT

In real clinical practice, more and more doctors encounter comorbid pathology. The combination of cardiovascular diseases with the pathology of other internal organs dictates the need to prescribe a variety of drugs. A comorbid patient is a serious problem for any clinician, since in this case it is necessary to take into account several components of therapy, which makes it difficult to control the effectiveness of the treatment, increases polypharmacy, the likelihood of developing local and systemic side effects of drugs, and also reduces adherence to therapy. The article presents a discussion of the clinical case of a comorbid patient, which required a broad outlook of the therapist in the field of not only cardiological aspects of diagnosis and treatment, but also nephrological, rheumatological. The stages of the performed diagnostic search with the verification of the clinical diagnosis and the tactics of the prescribed pharmacotherapy are given. Based on the presented data, it is shown that in conditions of comorbidity it is difficult for a doctor to avoid polypharmacy. We present to your attention a clinical observation in which combined independent clinical conditions acquire the character of comorbid processes, determining the difficult situation of choosing a rational therapy.