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CLINICAL CHARACTERISTIC AND INDICATORS STRESS-MPI AT PATIENTS SUBJECTED TO ENDOVASCULAR RECANALIZATION OF CHRONIC OCCLUSION OF RIGHT CORONARY ARTERY

Abstract

The results of inspection and treatment of 72 patients are analysed in the article: endovascular recanalization of chronic occlusion of right coronary artery was carried out at 39 patients (the 1st group), entirely conservative therapy was received by 33 patients (the 2nd group). An assessment of quantity of segments with existence of perfusion defect and also an assessment of the clinical status of patients was carried out at investigation phases. The period of supervision was 12 months. Patients of the 1st group had authentically higher chances of decrease in FC of cardiac failure, the best indicators of 6-minute walking test and indicators of LQ, lower class of stenocardia of tension, and also decrease in number of points of perfusion defect less than 5 by data stress-MRI in comparison with control group (р < 0,001).

About the Authors

A. A. Obedinskiy
FSBE «Novosibirsk scientific research institute of circulation pathology n.a. academician E. N. Meshalkin» of Ministry of Health
Russian Federation


V. P. Kurbatov
FSBE «Novosibirsk scientific research institute of circulation pathology n.a. academician E. N. Meshalkin» of Ministry of Health
Russian Federation


N. R. Obedinskaya
FSBE «Novosibirsk scientific research institute of circulation pathology n.a. academician E. N. Meshalkin» of Ministry of Health
Russian Federation


D. N. Ponomarev
FSBE «Novosibirsk scientific research institute of circulation pathology n.a. academician E. N. Meshalkin» of Ministry of Health
Russian Federation


References

1. Осиев А. Г. Сравнительная характеристика покрытых стентов, использованных при эндоваскулярном лечении больных ишемической болезнью сердца / А. Г. Осиев, С. П. Мироненко, Д. С. Ёлкина // Патология кровообращения и кардиохирургия. - 2013. - № 1. - С. 91-96.

2. Бабунашвили А. М. Эндопротезирование (стентирование) венечных артерий сердца / А. М. Бабунашвили, В. А. Иванов, С. А. Бирюкова. - М. : АСВ, 2001. - 704 с.

3. Procedural Outcomes and Long-Term Survival among Patients Undergoing Percutaneous Coronary Intervention of a Chronic Total Occlusion in Native Coronary Arteries : A 20-Year Experience / J. A. Suero [et al.] // J. Am. Coll. Cardiol. - 2001. - Vol. 38. - Р. 409-14.

4. Изменение качества жизни больных ишемической болезнью сердца с выраженной дисфункцией левого желудочка после хирургической реваскуляризации миокарда / А. М. Чернявский [и др.] // Патология кровообращения и кардиохирургия. - 2014. - № 1. - С. 22-27.

5. Prevalence of total coronary occlusion during the early hours of transmural myocardial infarction / М. А. DeWood [et al.] // N. Engl. J. Med. - 1980. - Vol. 303. - Р. 897-902.

6. Immediate results and one-year clinical outcome after percutaneous coronary interventions in chronic total occlusions : data from a multicenter, prospective, observational study (TOAST-GISE) / Z. Olivari [et al.] // J. Am Coll Cardiol. - 2003. - Vol. 41. - Р. 1672-78.

7. Frequency of Myocardial Infarction and Its Relationship to Angiographic Collateral Flow in Territories Supplied by Chronically Occluded Coronary Arteries / Jin-Ho Choi [et al.] // Circulation.- 2013. - Vol. 127. - Р. 703-709.

8. Montalescot G. 2013 ESC guidelines on the management of stable coronary artery disease The Task Force on the management of stable coronary artery disease of the European Society of Cardiology [electron resource] / G. Montalescot, U. Sechtem, S. Achenbach. - 2013, 31 August (First published online 2949-3003). - Access mode : (http://eurheartj.oxfordjournals.org/content/34/38/2949). - Access date : 01.09.2015.

9. Goodlin S. J. End-of-life care in heart failure / S. J. Goodlin // Curr. Cardiol. Rep. - 2009. - Vol. 11 (3). - Р. 184-275.

10. Ware J. E. Jr. SF-36 health survey update / J. E. Ware Jr. // Spine. - 2000. - Vol. 25 (24). - Р. 3130-9.

11. Оценка нарушений перфузии миокарда методом МРТ с аденозиновым стресс-тестом в бассейне кровоснабжения правой коронарной артерии при обоснованипоказаний к эндоваскулярной реканализации / В. П. Курбатов [и др.] // Радиология практика. - 2012. - № 4. - С. 27-34.

12. Standardized Myocardial Segmentation and Nomenclature for Tomographic Imaging of the Heart / M. D. Cerqueira [et al.] // Circulation.- 2002. - Vol. 105. - Р. 539-542.

13. Asymptomatic Cardiac Ischemia Pilot (ACIP) study two-year follow-up : outcomes of patients randomized to initial strategies of medical therapy versus revascularization / R. F. Davies [et al.] // Circulation. - 1997. - Vol. 95. - Р. 2037-2043.


Review

For citations:


Obedinskiy A.A., Kurbatov V.P., Obedinskaya N.R., Ponomarev D.N. CLINICAL CHARACTERISTIC AND INDICATORS STRESS-MPI AT PATIENTS SUBJECTED TO ENDOVASCULAR RECANALIZATION OF CHRONIC OCCLUSION OF RIGHT CORONARY ARTERY. Journal of Siberian Medical Sciences. 2015;(5):21.

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ISSN 2542-1174 (Print)