ASSESSMENT OF SYSTOLIC FUNCTION AND INDICATORS OF LEFT VENTRICULAR REMODELING DEPENDING ON THE RESULTS OF REPERFUSION IN PATIENTS WITH ST ELEVATION MYOCARDIAL INFARCTION
Keywords:
STEMI, left ventricular remodeling, thrombolytic therapy, percutaneous coronary intervention, stentingAbstract
The results of thrombolytic therapy, primary PCI with coronary stenting in 302 STEMI patients were studied using ECG monitoring and postoperative echocardiography follow-up according to the recommendations of the American Echocardiographic Society. The diagnosis of STEMI was based on clinical presentation and electrocardiographic criteria. To assess the effectiveness of treatment after reperfusion, using echocardiography, regional contraction of the left ventricle and violations of regional contraction in the groups were examined. Each segment was analyzed in terms of contraction function. Restoration of blood flow in coronary arteries in patients with STEMI by short-term thrombolytic therapy or percutaneous coronary intervention (PCI) stenting has shown that global LVEF, LV EDV and retain the LV regional contraction functions.
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