Features of groups of patients with endovascular intervention

DOI: https://doi.org/10.29296/25877305-2023-12-15
Issue: 
12
Year: 
2023

A. Titova; E. Andreeva; T. Martynova; Professor O. Kozyrev, MD
Smolensk State Medical University

Objective. To analyze the clinical and instrumental picture of the disease in patients with endovascular intervention and without indications for it. Methods. The article presents an analysis of the medical documentation of patients admitted to the Cardiology Department No. 2 of the Clinical Emergency Hospital (Smolensk). Results. The subjects most often reported unstable angina (56.4%), previous myocardial infarction (37.2%), and aortic atherosclerosis (23.6%). Endovascular intervention was performed in 60% of patients, diagnostic coronary angiography (CAG) – in 29%. When conducting echocardiography, aortic thickening was detected in 92% of patients who subsequently underwent endovascular surgery, in 67% of patients with diagnostic coronary angiography, and in 50% of patients without surgical interventions. Conclusion. Hospitalization was more often carried out for unstable angina, myocardial infarction in combination with arterial hypertension and cerebral atherosclerosis. Most of the patients underwent surgery. Aortic thickening and left atrial hypertrophy were identified by echocardiography in all groups of patients.
Keywords: 
cardiology
stenting
transluminal balloon angioplasty
cardiovascular pathology.

References: 
  1. Попов А.Б., Рожков В.О. Результаты кардиохирургического лечения больных с нестабильной стенокардией. Оренбургский медицинский вестник. 2022; 3 (39): 39–42 [Popov A. B., Rozhkov V. O. Results of cardiac surgery treatment of patients with unstable angina. Orenburg Medical Journal. 2022; 3 (39): 39–42 (in Russ.)].
  2. Казанцев А.Н., Джафарова С.А., Цороева Д.Б. и др. Гибридная реваскуляризация: стентирование рестеноза внутренней сонной артерии слева в сочетании со стентированием передней нисходящей артерии и каротидной эндартерэктомией справа. Анналы клинической и экспериментальной неврологии. 2022; 2: 100–5 [Kazantsev A.N., Dzhafarova S.A., Tsoroyeva D.B. et al. Hybrid revascularization: stenting of left internal carotid artery after restenosis, combined with left anterior descending artery stenting and right carotid endarterectomy. Annals of Clinical and Experimental Neurology. 2022; 2: 100–5 (in Russ.)] DOI: 10.54101/org.2022.2.11
  3. Черняк А.А., Дешко М.С., Снежицкий В.А. и др. Чрескожные коронарные вмешательства – современное состояние вопроса: эволюция стентов. Журнал Гродненского государственного медицинского университета. 2020; 18 (4): 365–73 [Chernyak A.A., Dzeshka M.S., Snezhitskiy V.A. et al. Percutaneous coronary interventions – current state of development: stents evolution. Journal of the Grodno State Medical University. 2020; 18 (4): 365–74 (in Russ.)]. DOI: 10.25298/2221-8785-2020-18-4-365-374
  4. Дедов Д.В., Мазаев В.П., Рязанова С.В. и др. Исследование качества жизни при интервенционном и консервативном лечении больных стабильной стенокардией на отдаленных сроках наблюдения. Кардиоваскулярная терапия и профилактика. 2014; 13 (5): 31–5 [Dedov D.V., Mazaev V.P., Ryazanova S.V. et al. A study of the quality of life in interventional and conservative treatment of patients with stable angina pectoris at long-term follow-up. Kardiovaskulyarnaya terapiya i profilaktika. 2014; 13 (5): 31–5 (in Russ.)] DOI: 10.15829/1728-8800-2014-5-31-35
  5. Наркевич И.А., Немятых О.Д., Ковалева К.А. и др. Оценка качества жизни пациентов со стабильной ишемической болезнью сердца после реваскуляризации миокарда. Фармация и фармакология. 2020; 8 (6): 465–75 [Narkevich I.A., Nemyatykh O.D., Kovaleva K.A. et al. Life quality assessment of patients with stable coronary artery disease after myocardial revascularization. Pharmacy & Pharmacology. 2020; 8 (6): 465–75 (in Russ.)]. DOI: 10.19163/2307-9266-2020-8-6-465-475
  6. Нишонов А.Б., Гусев С.М., Тарасов Р.С. Баллонная ангиопластика рестенозов коронарных стентов в качестве «моста» к экстренному коронарному шунтированию при остром коронарном синдроме без подъема сегмента ST высокого риска. Сибирский журнал клинической и экспериментальной медицины. 2022; 37 (2): 118–23 [Nishonov A.B., Gusev S.M., Tarasov R.S. Balloon angioplasty for restenosis of coronary stents as a “bridge” to emergency coronary bypass grafting in non-ST segment elevation acute coronary syndrome. The Siberian Journal of Clinical and Experimental Medicine. 2022; 37 (2): 118–23 (in Russ.)]. DOI: 10.29001/2073-8552-2022-37-2-118-123