THE LEFT VENTRICULAR SYSTOLIC FUNCTION AMONG PATIENTS WITH STEMI AFTER DIFFERENT TYPES OF TREATMENT STRATEGIES.

I Fushtey, E Sid', A Kulbachuk, G Solonynka

Georgian medical news 2020 Dec

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The aim of the study - to determine parameters the left ventricular systolic function among patients with STEMI after different types of treatment strategies. The results of the study are based on the data obtained from a comprehensive examination of 447 patients with IHD: STEMI - 280 patients, 91 ones with NSTEMI and the control group consisted of 76 persons with angina pectoris. The study evaluated the risk of death of patients (GRAEME 2.0 scale), levels of MB-CPK and troponin I, LVEF and other echocardiographic parameters for various reperfusion tactics. The results obtained are correlated with the thesis that today PPSI is the most effective method to achieve a full reperfusion of infarct-dependent artery. The study showed greater effectiveness of PPSI in reducing mortality and improving hospital and long-term prognosis in comparison with thrombolytic therapy. The reduction of the relative risk of systolic dysfunction occurs in reperfusion therapy, most strongly when using stenting - RR 0.216, 95% CI 0.110-0.426.

Citation

I Fushtey, E Sid', A Kulbachuk, G Solonynka. THE LEFT VENTRICULAR SYSTOLIC FUNCTION AMONG PATIENTS WITH STEMI AFTER DIFFERENT TYPES OF TREATMENT STRATEGIES. Georgian medical news. 2020 Dec(309):46-50