| Autor: |
A. S. Korotin, A. R. Kiselev, Yu. V. Popova, O. M. Posnenkova, V. I. Gridnev |
| Jazyk: |
ruština |
| Rok vydání: |
2018 |
| Předmět: |
|
| Zdroj: |
Klinicist, Vol 11, Iss 3-4, Pp 23-33 (2018) |
| Druh dokumentu: |
article |
| ISSN: |
1818-8338 |
| DOI: |
10.17650/1818-8338-2017-11-3-4-23-33 |
| Popis: |
The purpose was to reveal the value of separate indications for myocardial revascularization as well as their combinations for choosing invasive or conservative strategy of treatment in patients with stable coronary artery disease (CAD) during 2012–2015 years.Materials and methods. The retrospective data of 1196 patients (mean age: 52.5 ± 8.4 years; 77,0 % men) were analyzed, from the register of patients with stable CAD (2012–2015 years), who had separate indications for myocardial revascularization and their combination. Patients were divided into 2 groups: with an invasive (n = 481 patients without considering the revascularization method) and conservative (n = 715 patients) treatment strategy. Indications for revascularization are taken from the recommendations of the European Society of Cardiology 2014.Results. The most common indication for myocardial revascularization was the presence of any coronary stenosis in combination with the limiting angina in the context of optimal medication (88.1 % in the invasive treatment group, 94.3 % in the conservative therapy group, p < 0.001). In half of the patients in both groups this indication was found in isolation, in the rest – in combination with other indications for surgical treatment. Among the combinations of indications, significant differences between the groups showed the following. Stenosis of the LM >50 % + proximal stenosis LAD >50 %+ limiting angina pectoris occurred in 1.5 % of the patients in the invasive treatment group versus 3.8 % with the conservative strategy (p = 0.020). Proximal stenosis LAD >50 % was more common among operated patients (10.6 % vs 4.6 % in the conservative treatment group, p |
| Databáze: |
Directory of Open Access Journals |
| Externí odkaz: |
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