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CLINICAL AND PROGNOSTIC SIGNIFICANCE OF MYOCARDIAL INFARCTION IN PLANNED CORONARY ANGIOPLASTY IN CONDITIONS OF CORONARY ARTERY DISEASE

Bakudin Gennady G.  (Federal State Budgetary Educational Institution of Higher Education «First St. Petersburg State Medical University named after Academician I.P. Pavlov» Ministry of Health of the Russian Federation clinical intern in the specialty «cardiology» of the department of therapy faculty with a course of endocrinology, cardiology and functional diagnostics with a clinic PSPbGMU im. I. P. Pavlova )

Trusov Ivan S.  (Candidate of Medical Sciences, Cardiologist at the Department of Cardiovascular Surgery of the Research Institute of Surgery and Emergency Medicine, Assistant of the Department of Faculty Therapy with a Course of Endocrinology, Cardiology and Functional Diagnostics with Clinic PSPbGMU im. I. P. Pavlova )

Until now, the issue of diagnosis of myocardial infarction (MI) in coronary artery disease (ischemic heart disease) in radiation practice is not resolved. This is due to the absence of generally accepted signs of the disease when using different methods and with the limitations defined for the diagnostic methods used. Therefore, to solve this problem, it is necessary to continue research that expands the database, on the basis of which it will be possible to develop diagnostic criteria for coronary heart disease in the future. Particular attention is paid to the 4th type of myocardial infarction, which was a form of the consequences of percutaneous coronary intervention (confirmed by stent thrombosis) and the rarest type of MI. Diagnosis of this form of MI is a difficult task due to its different clinical course. The main prognostic parameter is considered to be the plasma level of troponin. However, the practical significance of type 4 myocardial infarction is still relevant and beyond doubt, requiring timely clinical evaluation, since it is a life-threatening condition.

Keywords:CHD, myocardial infarction, type 4, stenosis, diagnosis, angioplasty

 

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Citation link:
Bakudin G. G., Trusov I. S. CLINICAL AND PROGNOSTIC SIGNIFICANCE OF MYOCARDIAL INFARCTION IN PLANNED CORONARY ANGIOPLASTY IN CONDITIONS OF CORONARY ARTERY DISEASE // Современная наука: актуальные проблемы теории и практики. Серия: Естественные и Технические Науки. -2023. -№07. -С. 140-145 DOI 10.37882/2223-2966.2023.07.04
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