Modern ways to reduced mortality of myocardial infarction. What should be done?
Myocardial infarction is a formidable manifestation of coronary artery disease and accounts for one third of deaths associated with coronary disease. In Russia, from 400 to 500 thousand patients with acute coronary syndrome are hospitalized annually, about half of them with myocardial infarction (MI...
| Main Authors: | , |
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| Format: | Article |
| Language: | Russian |
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Russian Academy of Sciences, Siberian Branch Publishing House
2023-10-01
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| Series: | Сибирский научный медицинский журнал |
| Subjects: | |
| Online Access: | https://sibmed.elpub.ru/jour/article/view/1233 |
| _version_ | 1797269539849764864 |
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| author | O. L. Barbarash T. B. Pecherina |
| author_facet | O. L. Barbarash T. B. Pecherina |
| author_sort | O. L. Barbarash |
| collection | DOAJ |
| description | Myocardial infarction is a formidable manifestation of coronary artery disease and accounts for one third of deaths associated with coronary disease. In Russia, from 400 to 500 thousand patients with acute coronary syndrome are hospitalized annually, about half of them with myocardial infarction (MI). The dynamics of the number of hospitalized patients in recent years indicates its reduction. Short-term mortality (30-day, including hospital mortality) after acute MI has decreased significantly over the past 50 years: in absolute terms from 30 % in 1950 to 5–8 % at present. However, long-term mortality after MI did not improve. Moreover, in recent years, the rate of decline in 30-day mortality from MI has decreased significantly, almost reaching a “plateau” over the past 15 years. It has been established that in terms of the impact on survival, disability and quality of life of the working population, MI is an important not only medical but also social problem. This review of the literature discusses changes in approaches to reducing mortality in MI, as well as the main events in evidence-based cardiology over the past 50 years, which have made it possible to effectively manage the risk of death in this category of patients. |
| first_indexed | 2024-03-08T14:33:07Z |
| format | Article |
| id | doaj.art-8ce5643638704b78b7d0c5902fbd6cf4 |
| institution | Directory Open Access Journal |
| issn | 2410-2512 2410-2520 |
| language | Russian |
| last_indexed | 2024-04-25T01:49:59Z |
| publishDate | 2023-10-01 |
| publisher | Russian Academy of Sciences, Siberian Branch Publishing House |
| record_format | Article |
| series | Сибирский научный медицинский журнал |
| spelling | doaj.art-8ce5643638704b78b7d0c5902fbd6cf42024-03-07T18:50:01ZrusRussian Academy of Sciences, Siberian Branch Publishing HouseСибирский научный медицинский журнал2410-25122410-25202023-10-0143561310.18699/SSMJ20230501531Modern ways to reduced mortality of myocardial infarction. What should be done?O. L. Barbarash0T. B. Pecherina1Research Institute for Complex Issues of Cardiovascular DiseasesResearch Institute for Complex Issues of Cardiovascular DiseasesMyocardial infarction is a formidable manifestation of coronary artery disease and accounts for one third of deaths associated with coronary disease. In Russia, from 400 to 500 thousand patients with acute coronary syndrome are hospitalized annually, about half of them with myocardial infarction (MI). The dynamics of the number of hospitalized patients in recent years indicates its reduction. Short-term mortality (30-day, including hospital mortality) after acute MI has decreased significantly over the past 50 years: in absolute terms from 30 % in 1950 to 5–8 % at present. However, long-term mortality after MI did not improve. Moreover, in recent years, the rate of decline in 30-day mortality from MI has decreased significantly, almost reaching a “plateau” over the past 15 years. It has been established that in terms of the impact on survival, disability and quality of life of the working population, MI is an important not only medical but also social problem. This review of the literature discusses changes in approaches to reducing mortality in MI, as well as the main events in evidence-based cardiology over the past 50 years, which have made it possible to effectively manage the risk of death in this category of patients.https://sibmed.elpub.ru/jour/article/view/1233myocardial infarctionacute coronary syndromelethalitypercutaneous coronary interventioncoronary artery bypass grafting |
| spellingShingle | O. L. Barbarash T. B. Pecherina Modern ways to reduced mortality of myocardial infarction. What should be done? Сибирский научный медицинский журнал myocardial infarction acute coronary syndrome lethality percutaneous coronary intervention coronary artery bypass grafting |
| title | Modern ways to reduced mortality of myocardial infarction. What should be done? |
| title_full | Modern ways to reduced mortality of myocardial infarction. What should be done? |
| title_fullStr | Modern ways to reduced mortality of myocardial infarction. What should be done? |
| title_full_unstemmed | Modern ways to reduced mortality of myocardial infarction. What should be done? |
| title_short | Modern ways to reduced mortality of myocardial infarction. What should be done? |
| title_sort | modern ways to reduced mortality of myocardial infarction what should be done |
| topic | myocardial infarction acute coronary syndrome lethality percutaneous coronary intervention coronary artery bypass grafting |
| url | https://sibmed.elpub.ru/jour/article/view/1233 |
| work_keys_str_mv | AT olbarbarash modernwaystoreducedmortalityofmyocardialinfarctionwhatshouldbedone AT tbpecherina modernwaystoreducedmortalityofmyocardialinfarctionwhatshouldbedone |