FEATURES OF THE CURRENT NSTE-ACS AT ELDERLY
https://doi.org/10.24884/2072-6716-2019-0-3-30-38
Abstract
Aim. To study feature of the current NSTE-ACS and changes of a morfo-functional condition of a myocardium at elderly patients in dependence time of revascularization.
Tasks. To compare the current NSTE-ACS at very high and high risk of myocardial infarction and early death between elderly and average age patients. To estimate feature of the current NSTE-ACS at very high and high risk of myocardial infarction and early death at elderly.
Material and methods. Research massif is 144 patients with NSTE-ACS at very high and high risk of myocardial infarction and early death who underwent coronary balloon angioplasty with stenting infarct-related artery. By age and time of revascularization all were distributed into groups. Additional all groups were analyzed of complications NSTE-ACS.
Results. The study found that despite delay in time of revascularization of elderly patients with NSTE-ACS at very high risk, the percent of hospital complications was similar to the percent of patients average age with NSTE-ACS. These patients were underwent revascularization in correct time. There was not negative dinamics in morfo-functional condition of a myocardium in group of elderly patients with NSTE-ACS at very high risk and delay in time of revascularization.
Conclusion. Elderly patients with NSTE-ACS with life-threatening ventricular arrhythmias or severe heart failure may be underwent revascularization until 24 hours since arrival to the hospital after early ischemic complications were treated. Elderly patients with refractory angina should be taken to an invasive treatment in mildest time.
About the Authors
О. V. Abramova
North-Western State Medical University named after I. I. Mechnikov
Russian Federation
Russian Federation
Olga V. Abramova
St. Petersburg
S. A. Sayganov
North-Western State Medical University named after I. I. Mechnikov
Russian Federation
Russian Federation
Sergej A. Sayganov
St. Petersburg
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Review
For citations:
Abramova О.V., Sayganov S.A. FEATURES OF THE CURRENT NSTE-ACS AT ELDERLY. EMERGENCY MEDICAL CARE. 2019;20(3):30-38. (In Russ.) https://doi.org/10.24884/2072-6716-2019-0-3-30-38
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