ИНТЕРВЕНЦИОННОЕ ВЕДЕНИЕ БОЛЬНЫХ С ХРОНИЧЕСКОЙ ИШЕМИЧЕСКОЙ БОЛЕЗНЬЮ СЕРДЦА

Авторы

  • Солеева Ситора Шахобовна
  • Агабабян Ирина Рубеновна
  • Ярашева Зарина Хикматуллаевна

Ключевые слова:

чрескожное коронарное вмешательство, стентирование, острый коронарный синдром, постинфарктный кардиосклероз, статины.

Аннотация

The leading cause of death of elderly patients currently remains coronary heart disease (CHD).Recently, revascularization therapy centers have been opened in almost all regions of our country. In particular, percutaneous coronary interventions (PCI) are carried out to effectively manage patients with ACS and PIC to improve the quality of life. These so-called endovascular interventions are currently a highly effective treatment method that can significantly improve the condition of patients and increase their tolerance to physical activity, return people to normal daily life. The aim of our study was to evaluate the possibility of percutaneous coronary intervention as one of the methods of management of patients with chronic coronary heart disease. In this article, a retrospective analysis was made of elderly and senile patients who underwent percutaneous coronary intervention with various types of stenting. During the analysis, it was revealed that most of the patients were elderly and diagnosed with ACS. Over 337 endovascular interventions were performed in 163 patients. During the PCI operation, a lesion of the anterior interventricular branch (PMV) was detected in most parts and, consequently, its stenting was performed. Stenting of coronary vessels in patients with ACS is necessary to prevent myocardial infarction and all the resulting severe complications in elderly and senile people who have a high level of comorbidity.

Библиографические ссылки

Alyavi, B., & Uzokov, J. (2018). TCTAP C-156 Successful Percutaneous Coronary Intervention of a Left Circumflex Artery Departing from the Right Coronary Sinus. Journal of the American College of Cardiology, 71(16 Supplement), S225-S226.

Bainey KR, Selzer F, Cohen HA, et al. Comparison of Three Age Groups Regarding Safety and Efficacy of Drug-Eluting Stents (from the National Heart, Lung, and Blood Institute Dynamic Registry). The American journal of cardiology. 2012; 109(2): 195-201.

Belyalov F.I. THE SPECIFICS OF ISCHEMIC HEART DISEASE MANAGEMENT IN ELDERLY. Russian Journal of Cardiology. 2017;(3):72-76. (In Russ.) https://doi.org/10.15829/1560-4071-2017-3-72-76

Boden WE, O’Rourke RA, Teo KK, et al. Optimal Medical Therapy with or without PCI for Stable Coronary Disease. N. Eng.lJ. Med., 2007; 356: 1503-16.].

Boekholdt S, Hovingh G, Mora S, et al. Very Low Levels of Atherogenic Lipoproteins and the Risk for Cardiovascular Events: A Meta-Analysis of Statin Trials. J. Am. Coll. Cardiol. 2014; 64(5): 485-94.

Cantor WJ, Mehta SR, Yuan F, et al. Radial versus femoral access for elderly patients with acute coronary syndrome undergoing coronary angiography and intervention: insights from the RIVAL trial. American Heart Journal. 2015; 170(5): 880-6.

European Society of Cardiology. 2021 ESC guidelines on the management of stable coronary artery disease. Eur. Heart. J. 2013; 34: 2949-3003.

Genders TSS, Steyerberg EW, Alkadhi H, et al. A clinical prediction rule for the diagnosis of coronary artery disease: validation, updating, and extension. Eur. Heart. J. 2011; 32(11): 1316-30.

Hannan EL, Zhong Y, Berger PB, et al. Comparison of Intermediate-Term Outcomes of Coronary Artery Bypass Grafting Versus Drug-Eluting Stents for Patients ≥75 Years of Age. The American journal of cardiology. 2014; 113(5): 803-8.

Irina Agababyan, Sitora Soliyeva, Yulduz Ismoilova.Condition of Coronary Arteries and Change of Lipid Profile in Coronary Heart Disease. Annals of R.S.C.B., ISSN:1583-6258, Vol. 25, Issue 1, 2021, Pages. 207 – 213. ORCID iDhttps://orcid.org/0000-0003-2650-4445St.

Mangiacapra F, Ricottini E, Di Gioia G, et al. Comparison Among Patients ≥75 Years Having Percutaneous Coronary Angioplasty Using Drug-Eluting Stents Versus Bare Metal Stents. American Journal of Cardiology. 2015; 115: 1179-84.

Veledar E, Fazel R, Shaw L, et al. Analyzing recent trends in coronary heart disease (CHD) deaths among the elderly in the United States using data from official statistical sources. Med. Arch. 2010; 64(5): 281-3.

Zhang Z, Kolm P, Grau-Sepulveda MV, et al. Cost-Effectiveness of Revascularization Strategies: The ASCERT Study. J. Am. Coll. Cardiol. 2015; 65(1): 1-11.

Агабабян И.Р., Солеева С.Ш. Место статинов в комплексном лечении SARS-COV-2. Вопросы науки и образования №14 (139) 2021. с.70-80.

Всемирная организация здравоохранения. Семьдесят третья сессия всемирной ассамблеи здравоохранения а73/inf./2 пункт 15.1повестки дня 5 мая 2020 г.

Мурадов М.М. диссер. Тактика хирургического лечения ишемической болезни сердца у пациентов старше 70 лет 2016 г. с.13.

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Опубликован

2022-06-27