Ischaemic heart disease remains one of the most serious problems of modern medicine, being the leading cause of death in industrialized countries. However, IHD in combination with comorbid pathology, in particular, obesity is a more powerful risk factor for increased disablement and lethal outcomes. Body weight increase by every 5–8 kg increases IHD-associated mortality by 25%. The article deals with pathogenetic foundations of the development and progression of IHD against the background of obesity, the surgical method of IHD management and possible perioperative complications mediated by overweight, discusses the notion of the «obesity paradox» in cardiosurgical patients, and also considers dietetic methods of management of obesity in IHD patients in the pre-operative period based on real needs for macro- and micronutrients.
diet therapy, ischaemic heart disease, obesity, perioperative complications, myocardial revascularization, coronary artery grafting, essential substances.
Nesterova V.E. Problems of surgical myocardial revascularization and approaches to dietetic correction in obese patients. Vopr. dietol. (Nutrition). 2018; 8(1): 27–36. (In Russian).