В мире научных открытий (Oct 2017)
MYOCARDIAL REVASCULARIZATION IN ACUTE CORONARY SYNDROME IN UDMURT REPUBLIC
Abstract
The urgency of the investigated problem is caused by high mortality from cardiovascular diseases. The aim of the study is to evaluate the results of myocardial revascularization in acute coronary syndrome. In the study of this problem, theoretical and empirical methods are applied: analysis of literature, study and generalization of innovative medical experience, analysis, synthesis, observation. Materials and methods. We studied retrospectively 125 case histories of patients who entered the Republican Clinical Diagnostic Center in 2015 with the diagnosis of acute coronary syndrome (ACS) for percutaneous coronary intervention (PCI) and treated in the department of acute myocardial infarction No.1. All patients underwent PCI. These patients have a stent in the coronary artery. The 95 patients were admitted to the control echocardiography 1.8–2 years after PCI. The data was analyzed using the Microsoft Excel program. Results. Basically there is a rescue or prepared PCI in our republic. In 77% of patients, the pathological wave Q / QS was formed at the time of admission. The left ventricle ejection fraction was higher and the number of nonfunctional zones of myocardium was lower in patients who had undergone PCI later. The echocardiography results are improving with an increase of the time from onset of the disease to percutaneous coronary interventions. Conclusions. It is shown that at the time of reoxygenation the formation of reactive oxygen species sharply increases and can damage the cell. This article can be useful for cardiologists, intervention surgeons, therapists, medical students, interns, postgraduate students.
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