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Название |
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Optimization of invasive treatment strategy in patients with non-ST elevation acute coronary syndrome
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01.01.2018 |
Prilutskaya Y.
Dvoretsky L.
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Kardiologiya |
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1 |
Ссылка
© 2019 All rights reserved. Objective: to compare strategies of invasive treatment of patients with non-ST elevation acute coronary syndrome (NSTEACS) hospitalized in 2014 and 2015. Materials and methods. We have analyzed treatment strategy used in patients with NSTEACS hospitalized in cardio-reanimation department of a city hospital during one month in two successive years (January 2014 and November 2015). We have compared indications to, and timing of coronary angiography, numbers of performed percutaneous coronary interventions (PCI) and coronary artery bypass grafting surgeries. Results. Portion of patients subjected to invasive procedures in 2014 was 26 %, in 2015-42 %. All 32 primary procedures were PCIs. An increase was due to delayed interventions (24-72 hours), which were not performed in 2014. We also more often used selective multivessel coronary stenting, what facilitated availability of invasive treatment for elderly patients. Hospital mortality of patients with NSTEACS decreased from 16 to 7 %.
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Multislice computed tomography capabilities in assessment of the coronary arteries atherosclerotic lesions
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01.01.2018 |
El Manaa H.
Shchekochikhin D.
Shabanova M.
Lomonosova A.
Gognieva D.
Ternovoy S.
Shariya M.
Mesitskaya D.
Kopylov P.
Syrkin A.
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Kardiologiya |
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0 |
Ссылка
© 2018 Limited Liability Company KlinMed Consulting. All Rights Reserved. Until today, there are no universally accepted methods for detection of unstable atherosclerotic plaques, even though many recent studies were devoted to this issue. In this article we present modern possibilities of computed tomography in visualization of atherosclerotic coronary lesion, including the detection of unstable lesions, whot in turn, can help in diagnosing subclinical exacerbation of ischemic heart disease and in the stratification of risks of acute coronary events.
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