Metabolic disorders in patients with arterial thromboembolism

Retrospective analysis of case histories and protocols of postmortem autopsies of patients in the period from 1.01.2008 until 31.12.2015 is presented. The diagnosis, according to medical records, was established in vivo on the basis of complaints, anamnesis, results of laboratory and instrumental methods, and was confirmed at autopsy. In patients with arterial emboli, the following metabolic disorders were detected: obesity, diabetes mellitus type 2, and dyslipidemia in combination with atherosclerotic plaques in the vascular wall. Obesity was diagnosed in 26% of patients and degree 1 obesity prevailed (54.9%). Diabetes mellitus type 2 occurred in 35% patients and 78% of them had severe decompensated in 69.1% of cases. At the time of admission, blood glucose levels averaged 9.7 mmol/L. It should be emphasized that polyvascular disease with the presence of atherosclerotic plaques at the different stages of their development was observed in all persons with arterial emboli. At the time of admission, the level of total cholesterol was 4.55 mmol/L on average.