Efficiency of invasive revascularization for acute coronary syndrome with ST elevation: first results of Regional Vascular Center of the Buryat Republic

The primary and main method of treating ACS with ST elevation is timely restoration of coronary vessel patency. Material and methods. 273 medical records of patients admitted with provisional diagnosis of ACS with ST elevation were studied. Statistical data were processed in Microsoft Excel and Stat...

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Autores principales:	L. B. Sodnomova, N. O. Bulutova
Formato:	article
Lenguaje:	RU
Publicado:	Scientific Сentre for Family Health and Human Reproduction Problems 2017
Materias:	pci invasive revascularization coronary stenting mortality Science Q
Acceso en línea:	https://doaj.org/article/41b8b12f5f8c465491ee49fe090dc44f
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id	oai:doaj.org-article:41b8b12f5f8c465491ee49fe090dc44f
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spelling	oai:doaj.org-article:41b8b12f5f8c465491ee49fe090dc44f2021-11-23T06:14:38ZEfficiency of invasive revascularization for acute coronary syndrome with ST elevation: first results of Regional Vascular Center of the Buryat Republic2541-94202587-959610.12737/article_5a3a0dba5f2a88.40775068https://doaj.org/article/41b8b12f5f8c465491ee49fe090dc44f2017-09-01T00:00:00Zhttps://www.actabiomedica.ru/jour/article/view/507https://doaj.org/toc/2541-9420https://doaj.org/toc/2587-9596The primary and main method of treating ACS with ST elevation is timely restoration of coronary vessel patency. Material and methods. 273 medical records of patients admitted with provisional diagnosis of ACS with ST elevation were studied. Statistical data were processed in Microsoft Excel and Statistica 10 (StatSoft Inc., USA). Results. One third of patients with ACS with ST elevation were admitted at «the golden hour» since symptoms onset. 234 (86 %) patients underwent coronary angiography. Primary percutaneous intervention (PCI), coronary stenting were performed for 117 patients, thrombolysis - for 23 and thrombolysis with subsequent PCI was carried out in 34 cases. Assessment of RCI efficiency, invasive revascularization in terms of IM frequency and mortality showed the following: the incidence of myocardial infarction in the group with PCI and without PCI was the same - 94 % against 98 % respectively; however the mortality in patients with STEMI was lower in the group with performed invasive revascularization - 4 % against 12 % (р = 0.04). Decrease is observed in both total mortality and mortality in the first 24 hours for STEMI patients - 3 % in the PCI group, compared to 9 % in the other group (р = 0.04). The suvival rate for STEMI patients was better for first time PCI - mortality 2.7 % against 12 % in the group without revascularization (р = 0.01).L. B. SodnomovaN. O. BulutovaScientific Сentre for Family Health and Human Reproduction Problemsarticlepciinvasive revascularizationcoronary stentingmortalityScienceQRUActa Biomedica Scientifica, Vol 2, Iss 5(2), Pp 55-59 (2017)
institution	DOAJ
collection	DOAJ
language	RU
topic	pci invasive revascularization coronary stenting mortality Science Q
spellingShingle	pci invasive revascularization coronary stenting mortality Science Q L. B. Sodnomova N. O. Bulutova Efficiency of invasive revascularization for acute coronary syndrome with ST elevation: first results of Regional Vascular Center of the Buryat Republic
description	The primary and main method of treating ACS with ST elevation is timely restoration of coronary vessel patency. Material and methods. 273 medical records of patients admitted with provisional diagnosis of ACS with ST elevation were studied. Statistical data were processed in Microsoft Excel and Statistica 10 (StatSoft Inc., USA). Results. One third of patients with ACS with ST elevation were admitted at «the golden hour» since symptoms onset. 234 (86 %) patients underwent coronary angiography. Primary percutaneous intervention (PCI), coronary stenting were performed for 117 patients, thrombolysis - for 23 and thrombolysis with subsequent PCI was carried out in 34 cases. Assessment of RCI efficiency, invasive revascularization in terms of IM frequency and mortality showed the following: the incidence of myocardial infarction in the group with PCI and without PCI was the same - 94 % against 98 % respectively; however the mortality in patients with STEMI was lower in the group with performed invasive revascularization - 4 % against 12 % (р = 0.04). Decrease is observed in both total mortality and mortality in the first 24 hours for STEMI patients - 3 % in the PCI group, compared to 9 % in the other group (р = 0.04). The suvival rate for STEMI patients was better for first time PCI - mortality 2.7 % against 12 % in the group without revascularization (р = 0.01).
format	article
author	L. B. Sodnomova N. O. Bulutova
author_facet	L. B. Sodnomova N. O. Bulutova
author_sort	L. B. Sodnomova
title	Efficiency of invasive revascularization for acute coronary syndrome with ST elevation: first results of Regional Vascular Center of the Buryat Republic
title_short	Efficiency of invasive revascularization for acute coronary syndrome with ST elevation: first results of Regional Vascular Center of the Buryat Republic
title_full	Efficiency of invasive revascularization for acute coronary syndrome with ST elevation: first results of Regional Vascular Center of the Buryat Republic
title_fullStr	Efficiency of invasive revascularization for acute coronary syndrome with ST elevation: first results of Regional Vascular Center of the Buryat Republic
title_full_unstemmed	Efficiency of invasive revascularization for acute coronary syndrome with ST elevation: first results of Regional Vascular Center of the Buryat Republic
title_sort	efficiency of invasive revascularization for acute coronary syndrome with st elevation: first results of regional vascular center of the buryat republic
publisher	Scientific Сentre for Family Health and Human Reproduction Problems
publishDate	2017
url	https://doaj.org/article/41b8b12f5f8c465491ee49fe090dc44f
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Efficiency of invasive revascularization for acute coronary syndrome with ST elevation: first results of Regional Vascular Center of the Buryat Republic

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