EVALUATION OF RESULTS OF CLINICO-FUNCTIONAL CHANGES OF MYOCARDIUM AFTER PERCUTANEOUS CORONARY INTERVENTIONS IN PATIENTS WITH CHF

Author(s):  O.D. Starodubov, Belgorod Regional Clinical Hospital, Belgorod, Russia

Issue:  Volume 41, №1

Rubric:  Clinical Medicine

Annotation:  The article presents research data on the analysis of the impact of percutaneous coronary intervention (PCI) on the results of clinical-functional changes of the myocardium in patients with chronic heart failure (CHF). The aim of the work was to evaluate the results of clinical-functional changes after coronary stenting in patients during the observed period. To analyze and to evaluate the efficacy of percutaneous transluminal coronary angioplasty (PTCA) in patients with CHF, and to determine and examine the safety of surgical intervention in these patients. Materials and methods. During the one-year period was in charge of 96 patients with coronary heart disease in the age interval from 40 to 70 years, with CHF I, IIA, IIB phase I–III functional class, which is for clinical data and coronary angiography routinely performed PTСA with stenting symptom-dependent coronary arteries with by the relevant drug therapy. Results of the study. The study showed a statistically significant decrease in CHF functional class after percutaneous coronary intervention, with subsequent improvement in the indicators of diastolic function (E / A) of the LV during the observed period. The outcome of surgical intervention is not affected as the initial stage of CHF, and severe, clinically significant CHF.

Keywords:  coronary heart disease, chronic heart failure, percutaneous coronary intervention

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