CAUSES OF POOR OUTCOMES IN PATIENTS WITH NON-ST-SEGMENT ELEVATION ACUTE CORONARY SYNDROME CONCURRENT WITH MULTIFOCAL ATHEROSCLEROSIS

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Issue: 
2
Year: 
2015

Professor S. Berns (1), MD; E. Shmidt (1), Candidate of Medical Sciences; A. Klimenkova (2), Candidate of Medical Sciences; O. Nagirnyak (1); S. Frolova (1); Professor O. Barbarash (1), MD; 1 -Research Institute for Complex Issues of Cardiovascular Diseases, Siberian Branch, Russian Academy of Medical Sciences, Kemerovo 2 -Kemerovo Cardiology Dispensary, Kemerovo

This study enrolled 149 patients with non-ST-segment elevation acute coronary syndrome (NSTE-ACS), who were ascertained to have a high incidence of multifocal atherosclerosis. The poor predictors were found to include increased cardiac-ankle vascular index and statin therapy discontinuation after NSTE-ACS. The women are more frequently discharged from hospital with a diagnosis of unstable angina pectoris and have no atherosclerotic lesion in the coronary and peripheral arteries while the men more commonly develop non-Q-wave myocardial infarction and have multifocal injury in the vascular bed.
Keywords: 
non-ST-segment elevation acute coronary syndrome
multifocal atherosclerosis
prognosis

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