avkАрхивъ внутренней медициныThe Russian Archives of Internal Medicine2226-67042411-6564“SINAPS” LLC10.20514/2226-6704-2022-12-3-175-186avk-1428Research ArticleОБЗОРНЫЕ СТАТЬИREVIEW ARTICLESПЕРИОПЕРАЦИОННОЕ ВЕДЕНИЕ ПАЦИЕНТОВ С РЕВМАТОЛОГИЧЕСКИМИ ЗАБОЛЕВАНИЯМИ: КАРДИОВАСКУЛЯРНЫЕ РИСКИ, ПРОФИЛАКТИКА ИНФЕКЦИОННЫХ И ТРОМБОЭМБОЛИЧЕСКИХ ОСЛОЖНЕНИЙ, ОТДЕЛЬНЫЕ СОСТОЯНИЯPerioperative Management of Patients with Rheumatic Disease: Cardiovascular Risks, Prevention of Infectious and Thromboembolic Complications, Other Conditionshttps://orcid.org/0000-0002-4262-4060ЛялинаВ. В.LyalinaV. A.

Вера Валерьевна ЛялинаКафедра госпитальной терапии № 2 ЛФ

Москва

Vera V. Lyalina

Moscow

vera_lyalina@mail.ruhttps://orcid.org/0000-0002-9365-1472БорисовскаяС. В.BorisovskayaS. V.

Кафедра госпитальной терапии № 2 ЛФ

Москва

Moscow

https://orcid.org/0000-0001-6321-8419СкрипниченкоЭ. А.SkripnichenkoE. A.

Кафедра госпитальной терапии № 2 ЛФ

Москва

Moscow

https://orcid.org/0000-0002-1237-3731ЭттингерО. А.EttingerO. A.

Кафедра госпитальной терапии № 2 ЛФ

Москва

Moscow

https://orcid.org/0000-0003-0877-9672ПаджеваТ. М.PadzhevaT. M.

Москва

Moscow

МигачёвС. Л.MigachevS. L.

Москва

Moscow

https://orcid.org/0000-0002-8128-5364БорщенкоИ. А.BorshchenkoI. A.

Москва

Moscow

https://orcid.org/0000-0003-1699-0881НикитинИ. Г.NikitinI. G.

Кафедра госпитальной терапии № 2 ЛФ

Москва

Moscow

ФГАОУ ВО РНИМУ им. Н.И. Пирогова Минздрава РоссииРоссияPirogov Russian National Research Medical University (Pirogov Medical University)Russian FederationФГАОУ ВО РНИМУ им. Н.И. Пирогова Минздрава России; ГБУЗ «ГКБ имени В.М. Буянова ДЗМ»РоссияPirogov Russian National Research Medical University (Pirogov Medical University); Buyanov City Clinical HospitalRussian FederationГБУЗ «ГКБ № 40 ДЗМ»РоссияMoscow City Clinical Hospital № 40Russian FederationКлиника «Ортоспайн»РоссияOrthospine ClinicRussian FederationФГАОУ ВО РНИМУ им. Н.И. Пирогова Минздрава России; ФГАУ «НМИЦ «ЛРЦ» Минздрава РоссииРоссияPirogov Russian National Research Medical University (Pirogov Medical University); Medical and Rehabilitation CenterRussian Federation202220052022123175186Copyright © Лялина В.В., Борисовская С.В., Скрипниченко Э.А., Эттингер О.А., Паджева Т.М., Мигачёв С.Л., Борщенко И.А., Никитин И.Г., 20222022Лялина В.В., Борисовская С.В., Скрипниченко Э.А., Эттингер О.А., Паджева Т.М., Мигачёв С.Л., Борщенко И.А., Никитин И.Г.Lyalina V.A., Borisovskaya S.V., Skripnichenko E.A., Ettinger O.A., Padzheva T.M., Migachev S.L., Borshchenko I.A., Nikitin I.G.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.medarhive.ru/jour/article/view/1428

В данной статье обсуждаются риски и профилактика инфекционных, тромбоэмболических осложнений, кардиоваскулярные риски, а также различные структурные изменения опорно-двигательного аппарата и неопорных суставных структур, которые затрудняют периоперационное ведение ревматологических пациентов.

In the first part we reviewed the issues of perioperative administration of steroids, disease-modifying antirheumatic drugs, biologics and nonsteroidal anti-inflammatory drugs. In this part we will discuss cardiovascular risks, prevention of infectious and thromboembolic complications and the impact of some structural alteration on the process of surgery and perioperative management.

ревматоидный артритпериоперационное ведениеэндопротезированиеантифосфолипидный синдроматлантоаксиальная нестабильностьвисочно-нижнечелюстные суставыперстнечерпаловидные суставыrheumatoid arthritisperioperative managementarthroplastyantiphospholipid syndromeatlantoaxial subluxationtemporomandibular jointscricoarytenoid arthritisReferencesТайлер К.Н., Дин К.Д. Периоперативное ведение пациентов с ревматическими заболеваниями. Секреты ревматологии. Дж.Уэст С. ГЭОТАР-Медиа. 2018; 111-118Tailer K.N., Din K.D. Perioperative management of patients with rheumatic diseases. Rheumatology Secrets. Sterling West GEOTAR-Media. 2018; 111-118 [In Russian]Gualtierotti R., Parisi M., Ingegnoli F. Perioperative Management of Patients with Inflammatory Rheumatic Diseases Undergoing Major Orthopaedic Surgery: A Practical Overview. Advances in Therapy. 2018; 35(4): 439-456. doi: https://doi.org/10.1007/s12325-018-0686-0Gualtierotti R., Parisi M., Ingegnoli F. Perioperative Management of Patients with Inflammatory Rheumatic Diseases Undergoing Major Orthopaedic Surgery: A Practical Overview. Advances in Therapy. 2018; 35(4): 439-456. doi: https://doi.org/10.1007/s12325-018-0686-0Teixeira L. Prophylactic antibiotic use in patients with rheumatic diseases. Perioperative Management of Patients with Rheumatic Disease. Springer Science+Business Media. 2013; 87-90. DOI:10.1007/978-1-4614-2203-7_7Teixeira L. Prophylactic antibiotic use in patients with rheumatic diseases. Perioperative Management of Patients with Rheumatic Disease. Springer Science+Business Media. 2013; 87-90. DOI:10.1007/978-1-4614-2203-7_7Habib G., Lancellotti P., Antunes M.J., и др. Рекомендации ESC по ведению больных с инфекционным эндокардитом 2015. Российский кардиологический журнал. 2016; 5(133): 65-116. DOI:10.15829/1560-4071-2016-5-65-116Habib G., Lancellotti P., Antunes M.J., et al. 2015 ESC guidelines for the management of infective endocarditis. Russian Journal of Cardiology. 2016; 5(133): 65-116. DOI:10.15829/1560-4071-2016-5-65-116 [In Russian]Zoumpoulakis M., Anagnostou F., Dalampiras S., Zouloumis L., Pliakos C. Infective Endocarditis Prophylaxis in Patients Undergoing Oral Surgery. Balkan Journal of Dental Medicine. 2016; 1(20): 5–14. DOI:10.1515/bjdm-2016-0001Zoumpoulakis M., Anagnostou F., Dalampiras S., Zouloumis L., Pliakos C. Infective Endocarditis Prophylaxis in Patients Undergoing Oral Surgery. Balkan Journal of Dental Medicine. 2016; 1(20): 5–14. DOI:10.1515/bjdm-2016-0001Agca R., Heslinga S.C., Rollefstad S., et al. EULAR recommendations for cardiovascular disease risk management in patients with rheumatoid arthritis and other forms of inflammatory joint disorders: 2015/2016 update. Annals of the Rheumatic Diseases. 2017; 1(76): 17–28. DOI:10.1136/annrheumdis-2016-209775Agca R., Heslinga S.C., Rollefstad S., et al. EULAR recommendations for cardiovascular disease risk management in patients with rheumatoid arthritis and other forms of inflammatory joint disorders: 2015/2016 update. Annals of the Rheumatic Diseases. 2017; 1(76): 17–28. DOI:10.1136/annrheumdis-2016-209775Амирджанова В.Н., Макаров М.А., Бялик Е.И. и др. Периоперационное ведение больных ревматоидным артритом. Научно-практическая ревматология. 2014; 52: 366-375. doi: http://dx.doi.org/10.14412/1995-4484-2014-366-375Amirdzhanova V.N., Makarov M.A., Byalik E.I. et al. Perioperative management of patients with rheumatoid arthritis. Scientific and practical rheumatology. 2014; 52: 366-375. [In Russian] doi: http://dx.doi.org/10.14412/1995-4484-2014-366-375Ruffatti A., Ross T. Del, Ciprian M., et al. Risk factors for a first thrombotic event in antiphospholipid antibody carriers. A multicentre, retrospective follow-up study. Annals of the Rheumatic Diseases. 2009; 3(68): 397–399. DOI:10.1136/ard.2008.096669Ruffatti A., Ross T. Del, Ciprian M., et al. Risk factors for a first thrombotic event in antiphospholipid antibody carriers. A multicentre, retrospective follow-up study. Annals of the Rheumatic Diseases. 2009; 3(68): 397–399. DOI:10.1136/ard.2008.096669Raso S., Sciascia S., Kuzenko A., et al. Bridging therapy in antiphospholipid syndrome and antiphospholipid antibodies carriers: Case series and review of the literature. Autoimmunity Reviews. 2015; 1(14): 36–42. DOI:10.1016/j.autrev.2014.09.002Raso S., Sciascia S., Kuzenko A., et al. Bridging therapy in antiphospholipid syndrome and antiphospholipid antibodies carriers: Case series and review of the literature. Autoimmunity Reviews. 2015; 1(14): 36–42. DOI:10.1016/j.autrev.2014.09.002Ruiz-Irastorza G., Egurbide M.-V., Pijoan J.-I., et al. Effect of antimalarials on thrombosis and survival in patients with systemic lupus erythematosus. Lupus. 2006; 9(15): 577–583. DOI:10.1177/0961203306071872Ruiz-Irastorza G., Egurbide M.-V., Pijoan J.-I., et al. Effect of antimalarials on thrombosis and survival in patients with systemic lupus erythematosus. Lupus. 2006; 9(15): 577–583. DOI:10.1177/0961203306071872Fasano S., Pierro L., Pantano I., et al. Longterm Hydroxychloroquine Therapy and Low-dose Aspirin May Have an Additive Effectiveness in the Primary Prevention of Cardiovascular Events in Patients with Systemic Lupus Erythematosus. The Journal of Rheumatology. 2017; 7(44): 1032–1038. DOI:10.3899/jrheum.161351Fasano S., Pierro L., Pantano I., et al. Longterm Hydroxychloroquine Therapy and Low-dose Aspirin May Have an Additive Effectiveness in the Primary Prevention of Cardiovascular Events in Patients with Systemic Lupus Erythematosus. The Journal of Rheumatology. 2017; 7(44): 1032–1038. DOI:10.3899/jrheum.161351Schroeder L.L., Wasko M.C. M. Perioperative management of patients with rheumatoid arthritis. Perioperative Management of Patients with Rheumatic Disease. Springer Science+Business Media. 2013; 209-220. DOI:10.1007/978-1-4614-2203-7_7Schroeder L.L., Wasko M.C. M. Perioperative management of patients with rheumatoid arthritis. Perioperative Management of Patients with Rheumatic Disease. Springer Science+Business Media. 2013; 209-220. DOI:10.1007/978-1-4614-2203-7_7Moskovich R. Rheumatoid arthritis. Spine Secrets. Elsevier. 2012; 668-678. ISBN: 978-0-323-63662-9Moskovich R. Rheumatoid arthritis. Spine Secrets. Elsevier. 2012; 668-678. ISBN: 978-0-323-63662-9Currier B.L., Coblyn J. Cervical subluxation in rheumatoid arthritis. 2021. [Electronic resource]. URL: https://www.uptodate.com/contents/cervical-subluxation-in-rheumatoidarthritis#:~:text=Thediscovertebraljointsinthe,%2Cneurologicdeficits%2Canddeformity (date of the application: 17.09.2021).Currier B.L., Coblyn J. Cervical subluxation in rheumatoid arthritis. 2021. [Electronic resource]. URL: https://www.uptodate.com/contents/cervical-subluxation-in-rheumatoidarthritis#:~:text=Thediscovertebraljointsinthe,%2Cneurologicdeficits%2Canddeformity (date of the application: 17.09.2021).Manaster B.J. Rheumatoid Arthritis of Axial Skeleton. Diagnostic imaging: musculoskeletal: non-traumatic disease, second edition. Elsevier. 2016; 10–16. ISBN:978-0-323-39252-5Manaster B.J. Rheumatoid Arthritis of Axial Skeleton. Diagnostic imaging: musculoskeletal: non-traumatic disease, second edition. Elsevier. 2016; 10–16. ISBN:978-0-323-39252-5Waldt S., Woertler K. Eds. Craniocervical Junction and Cervical Spine. Measurements and Classifications in Musculoskeletal Radiology. Thieme Medical Publishers. 2014; 149-156. ISBN 978-3-13-169281-8Waldt S., Woertler K. Eds. Craniocervical Junction and Cervical Spine. Measurements and Classifications in Musculoskeletal Radiology. Thieme Medical Publishers. 2014; 149-156. ISBN 978-3-13-169281-8Laiho K. Can we rely on magnetic resonance imaging when evaluating unstable atlantoaxial subluxation? Annals of the Rheumatic Diseases. 2003; 3(62): 254–256. DOI:10.1136/ard.62.3.254Laiho K. Can we rely on magnetic resonance imaging when evaluating unstable atlantoaxial subluxation? Annals of the Rheumatic Diseases. 2003; 3(62): 254–256. DOI:10.1136/ard.62.3.254Ranawat C.S., O’Leary P., Pellicci P., et al. Cervical spine fusion in rheumatoid arthritis. Journal of Bone and Joint Surgery — Series A. 1979; 7(61). DOI:10.2106/00004623-197961070-00006Ranawat C.S., O’Leary P., Pellicci P., et al. Cervical spine fusion in rheumatoid arthritis. Journal of Bone and Joint Surgery — Series A. 1979; 7(61). DOI:10.2106/00004623-197961070-00006Mikulowski P., Wollheim F.A., Rotmil P., et al. Sudden Death in Rheumatoid Arthritis with Atlanto-axial Dislocation. Acta Medica Scandinavica. 2009; 1–6(198): 445–451. DOI:10.1111/j.0954-6820.1975.tb19573.xMikulowski P., Wollheim F.A., Rotmil P., et al. Sudden Death in Rheumatoid Arthritis with Atlanto-axial Dislocation. Acta Medica Scandinavica. 2009; 1–6(198): 445–451. DOI:10.1111/j.0954-6820.1975.tb19573.xMayer J.W. Brain stem compression in rheumatoid arthritis. JAMA: The Journal of the American Medical Association. 1976; 18(236). DOI:10.1001/jama.236.18.2094Mayer J.W. Brain stem compression in rheumatoid arthritis. JAMA: The Journal of the American Medical Association. 1976; 18(236). DOI:10.1001/jama.236.18.2094Harris E.D., Firestein G.S. Clinical Features of Rheumatoid Arthritis. Kelley’s Textbook of Rheumatology. Elsevier. 2021; 1236-1257. ISBN: 978-0-323-63920-0Harris E.D., Firestein G.S. Clinical Features of Rheumatoid Arthritis. Kelley’s Textbook of Rheumatology. Elsevier. 2021; 1236-1257. ISBN: 978-0-323-63920-0Reddy D., Trost L.W., Lee T., et al. Rheumatoid arthritis: Current pharmacologic treatment and anesthetic considerations. Middle East Journal of Anesthesiology. 2007; 2(19): 33-311. PMID:17684873Reddy D., Trost L.W., Lee T., et al. Rheumatoid arthritis: Current pharmacologic treatment and anesthetic considerations. Middle East Journal of Anesthesiology. 2007; 2(19): 33-311. PMID:17684873Matti M.V., Sharrock N.E. Anesthesia on the rheumatoid patient. Rheumatic Disease Clinics of North America. 1998; 1(24): 19-34. DOI:10.1016/S0889-857X(05)70375-6Matti M.V., Sharrock N.E. Anesthesia on the rheumatoid patient. Rheumatic Disease Clinics of North America. 1998; 1(24): 19-34. DOI:10.1016/S0889-857X(05)70375-6Wood G.D., Branco J.A. A comparison of three methods of measuring maximal opening of the mouth. Journal of Oral Surgery. 1979; 3(37): 7-175Wood G.D., Branco J.A. A comparison of three methods of measuring maximal opening of the mouth. Journal of Oral Surgery. 1979; 3(37): 7-175Lyssy L., Escalante A. Perioperative management of rheumatoid arthritis: Areas of concern for primary care physicians. Postgraduate Medicine. 1996; 2(99): 199-201. PMID:8632966Lyssy L., Escalante A. Perioperative management of rheumatoid arthritis: Areas of concern for primary care physicians. Postgraduate Medicine. 1996; 2(99): 199-201. PMID:8632966Morton D., Foreman K., Albertine K. Chapter 28. Larynx. Gross Anatomy. McGraw-Hill Education. 2019; 289-298. ISBN: 978-1-25-986264-9Morton D., Foreman K., Albertine K. Chapter 28. Larynx. Gross Anatomy. McGraw-Hill Education. 2019; 289-298. ISBN: 978-1-25-986264-9Parvizi J. Kyphosis. High Yield Orthopaedics. 1st ed. Elsevier. 2010; 266–267. ISBN 9780323314985Parvizi J. Kyphosis. High Yield Orthopaedics. 1st ed. Elsevier. 2010; 266–267. ISBN 9780323314985Lam J., Mukhdomi T. Kyphosis. 2021. [Electronic resource]. URL: https://www.ncbi.nlm.nih.gov/books/NBK558945/ (date of the application: 16.09.2021).Lam J., Mukhdomi T. Kyphosis. 2021. [Electronic resource]. URL: https://www.ncbi.nlm.nih.gov/books/NBK558945/ (date of the application: 16.09.2021).Brent L.H. Ankylosing Spondylitis and Undifferentiated Spondyloarthropathy Clinical Presentation. 2021. [Electronic resource]. URL: https://emedicine.medscape.com/article/332945-clinical#b1 (date of the application: 17.09.2021)Brent L.H. Ankylosing Spondylitis and Undifferentiated Spondyloarthropathy Clinical Presentation. 2021. [Electronic resource]. URL: https://emedicine.medscape.com/article/332945-clinical#b1 (date of the application: 17.09.2021)Ассоциация ревматологов России. Глава 2. Анкилозирующий спондилит. Ревматология. Российские клинические рекомендации под ред. Насонова Е.Л. ГЭОТАР-Медиа. 2020; 69Russian Association of Rheumatologists. Chapter 2. Ankylosing spondylitis. Rheumatology. Russian Clinical guidelines, ed. Nasonov E.L., GEOTAR-Media. 2020; 69 [In Russian]Axford J.S. Preoperative evaluation and perioperative management of patients with rheumatic diseases. 2021. [Electronic resource]. URL: https://www.uptodate.com/contents/preoperativeevaluation-and-perioperative-management-of-patients-withrheumatic-diseases#H11 (date of the application: 16.09.2021).Axford J.S. Preoperative evaluation and perioperative management of patients with rheumatic diseases. 2021. [Electronic resource]. URL: https://www.uptodate.com/contents/preoperativeevaluation-and-perioperative-management-of-patients-withrheumatic-diseases#H11 (date of the application: 16.09.2021).

The authors declare that there are no conflicts of interest present.