КЛИНИЧЕСКИЙ ОПЫТ РЕАЛИЗАЦИИ ИНВАЗИВНОЙ СТРАТЕГИИ ЛЕЧЕНИЯ ОСТРОГО КОРОНАРНОГО СИНДРОМА БЕЗ СТОЙКОГО ПОДЪЕМА СЕГМЕНТА ST НА ЭКГ
In article authors discuss invasive strategy of treatment of patients with acute coronary syndrome without ST elevation. 221 cases from CCU of hospital № 7 were analysed. There are some problems in pre-clinical diagnosis (half of cases were excluded diagnosis of acute coronary syndrome write after h...
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| Format: | Article |
| Language: | Russian |
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SINAPS LLC
2015-04-01
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| Series: | Архивъ внутренней медицины |
| Subjects: | |
| Online Access: | https://www.medarhive.ru/jour/article/view/383 |
| _version_ | 1826558754955460608 |
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| author | Ю. А. Прилуцкая Л. И. Дворецкий |
| author_facet | Ю. А. Прилуцкая Л. И. Дворецкий |
| author_sort | Ю. А. Прилуцкая |
| collection | DOAJ |
| description | In article authors discuss invasive strategy of treatment of patients with acute coronary syndrome without ST elevation. 221 cases from CCU of hospital № 7 were analysed. There are some problems in pre-clinical diagnosis (half of cases were excluded diagnosis of acute coronary syndrome write after hospitalisation) and hight specifity of preliminary clinical diagnosis, that was approved in 82% of cases. Only 26% of patients with acute coronary syndrome without ST elevation were refered to surgery (in 15 cases — percutaneous coronary intervention, in 3 — coronary artery bypass grafting). After analisation of medical histories authors find out patients to whom surgery was needed but wasn’t prescribed (in 29 cases — contrindications, in 23 — recomendation to deferred coronaroangiography and 15 were discharged without stress test performance. In situation we will use new diagnostical tools and methods we can find more cases of acute coronary syndrome without ST elevation. |
| first_indexed | 2024-04-10T03:57:54Z |
| format | Article |
| id | doaj.art-0dafcefe7c6340a4b4325e15d575829a |
| institution | Directory Open Access Journal |
| issn | 2226-6704 2411-6564 |
| language | Russian |
| last_indexed | 2025-03-14T08:49:31Z |
| publishDate | 2015-04-01 |
| publisher | SINAPS LLC |
| record_format | Article |
| series | Архивъ внутренней медицины |
| spelling | doaj.art-0dafcefe7c6340a4b4325e15d575829a2025-03-02T12:48:56ZrusSINAPS LLCАрхивъ внутренней медицины2226-67042411-65642015-04-0102314410.20514/2226-6704-2015-0-2-31-44396КЛИНИЧЕСКИЙ ОПЫТ РЕАЛИЗАЦИИ ИНВАЗИВНОЙ СТРАТЕГИИ ЛЕЧЕНИЯ ОСТРОГО КОРОНАРНОГО СИНДРОМА БЕЗ СТОЙКОГО ПОДЪЕМА СЕГМЕНТА ST НА ЭКГЮ. А. Прилуцкая0Л. И. Дворецкий1ГБУЗ «7 ГКБ» ДЗМ, Первый МГМУ им. И.М.СеченоваГБУЗ «7 ГКБ» ДЗМ, Первый МГМУ им. И.М.СеченоваIn article authors discuss invasive strategy of treatment of patients with acute coronary syndrome without ST elevation. 221 cases from CCU of hospital № 7 were analysed. There are some problems in pre-clinical diagnosis (half of cases were excluded diagnosis of acute coronary syndrome write after hospitalisation) and hight specifity of preliminary clinical diagnosis, that was approved in 82% of cases. Only 26% of patients with acute coronary syndrome without ST elevation were refered to surgery (in 15 cases — percutaneous coronary intervention, in 3 — coronary artery bypass grafting). After analisation of medical histories authors find out patients to whom surgery was needed but wasn’t prescribed (in 29 cases — contrindications, in 23 — recomendation to deferred coronaroangiography and 15 were discharged without stress test performance. In situation we will use new diagnostical tools and methods we can find more cases of acute coronary syndrome without ST elevation.https://www.medarhive.ru/jour/article/view/383acute coronary syndrome with st elevationacute coronary syndrome without st elevationcoronaroangiographypercutaneous coronary interventioncoronary artery bypass graftingunstable angina pectorismyocardial infarctiontropinin |
| spellingShingle | Ю. А. Прилуцкая Л. И. Дворецкий КЛИНИЧЕСКИЙ ОПЫТ РЕАЛИЗАЦИИ ИНВАЗИВНОЙ СТРАТЕГИИ ЛЕЧЕНИЯ ОСТРОГО КОРОНАРНОГО СИНДРОМА БЕЗ СТОЙКОГО ПОДЪЕМА СЕГМЕНТА ST НА ЭКГ Архивъ внутренней медицины acute coronary syndrome with st elevation acute coronary syndrome without st elevation coronaroangiography percutaneous coronary intervention coronary artery bypass grafting unstable angina pectoris myocardial infarction tropinin |
| title | КЛИНИЧЕСКИЙ ОПЫТ РЕАЛИЗАЦИИ ИНВАЗИВНОЙ СТРАТЕГИИ ЛЕЧЕНИЯ ОСТРОГО КОРОНАРНОГО СИНДРОМА БЕЗ СТОЙКОГО ПОДЪЕМА СЕГМЕНТА ST НА ЭКГ |
| title_full | КЛИНИЧЕСКИЙ ОПЫТ РЕАЛИЗАЦИИ ИНВАЗИВНОЙ СТРАТЕГИИ ЛЕЧЕНИЯ ОСТРОГО КОРОНАРНОГО СИНДРОМА БЕЗ СТОЙКОГО ПОДЪЕМА СЕГМЕНТА ST НА ЭКГ |
| title_fullStr | КЛИНИЧЕСКИЙ ОПЫТ РЕАЛИЗАЦИИ ИНВАЗИВНОЙ СТРАТЕГИИ ЛЕЧЕНИЯ ОСТРОГО КОРОНАРНОГО СИНДРОМА БЕЗ СТОЙКОГО ПОДЪЕМА СЕГМЕНТА ST НА ЭКГ |
| title_full_unstemmed | КЛИНИЧЕСКИЙ ОПЫТ РЕАЛИЗАЦИИ ИНВАЗИВНОЙ СТРАТЕГИИ ЛЕЧЕНИЯ ОСТРОГО КОРОНАРНОГО СИНДРОМА БЕЗ СТОЙКОГО ПОДЪЕМА СЕГМЕНТА ST НА ЭКГ |
| title_short | КЛИНИЧЕСКИЙ ОПЫТ РЕАЛИЗАЦИИ ИНВАЗИВНОЙ СТРАТЕГИИ ЛЕЧЕНИЯ ОСТРОГО КОРОНАРНОГО СИНДРОМА БЕЗ СТОЙКОГО ПОДЪЕМА СЕГМЕНТА ST НА ЭКГ |
| title_sort | клинический опыт реализации инвазивной стратегии лечения острого коронарного синдрома без стойкого подъема сегмента st на экг |
| topic | acute coronary syndrome with st elevation acute coronary syndrome without st elevation coronaroangiography percutaneous coronary intervention coronary artery bypass grafting unstable angina pectoris myocardial infarction tropinin |
| url | https://www.medarhive.ru/jour/article/view/383 |
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