Comparative evaluation of basic functional indicators of myocardium of the left ventricle in the case of patients having acute coronary syndrome after endovascular correction under conditions of assist blood circulation

2016 ◽  
pp. 131-134
Author(s):  
E.B. Shakhov ◽  
B.E. Shakhov ◽  
D.V. Volkov ◽  
D.V. Petrov ◽  
A.S. Novikov
Keyword(s):  
Acute Coronary Syndrome ◽  
Left Ventricle ◽  
Comparative Evaluation ◽  
Blood Circulation ◽  
Coronary Syndrome

scholarly journals Takotsubo syndrome in elderly woman: The diagnosis by transthoracic echocardiography

2019 ◽  
Vol 7 ◽  
pp. 2050313X1987892
Author(s):  
Inggita Hanung Sulistya ◽  
Anggoro Budi Hartopo ◽  
Lucia Kris Dinarti ◽  
Budi Yuli Setianto
Keyword(s):  
Acute Coronary Syndrome ◽  
Left Ventricle ◽  
Transthoracic Echocardiography ◽  
Troponin I ◽  
Acute Chest Pain ◽  
Apical Ballooning ◽  
Transient Condition ◽  
Takotsubo Syndrome ◽  
Coronary Syndrome ◽  
Concentric Hypertrophy

Takotsubo syndrome has increasingly been recognized in the differential diagnosis of patients presenting with acute chest pain. Those affected are typically older women suffering after an emotional or physical stress. Normally it is a transient condition but complications including death have been reported. We reported a case of takotsubo syndrome who was initially diagnosed as acute coronary syndrome. The patient presented with typical angina, ST-T segment changes, and elevated high sensitive–troponin I. Coronary angiography showed normal coronary arteries. Transthoracic echocardiography revealed mild left atrial dilatation and left ventricle concentric hypertrophy, reduced left ventricle ejection fraction with circumferential hypokinetic, apical ballooning, systolic anterior motion, left ventricle outflow tract obstruction, and sigmoid septum hypertrophy. One month later, patient recovered and transthoracic echocardiography revealed improved heart anatomy and function. To differentiate takotsubo syndrome with other conditions, especially acute coronary syndrome, is crucial. Their clinical presentations are similar but the managements are different. The transthoracic echocardiography holds an important role in supporting the diagnosis of takotsubo syndrome.

COMPARATIVE EVALUATION OF SCALES FOR THE ASSESSMENT OF SENILE ASTHENIA SYNDROME IN PATIENTS WITH ACUTE CORONARY SYNDROME

2021 ◽  
pp. 1116-1121
Author(s):  
Л. В. Борисова ◽  
А. С. Пушкин ◽  
С. В. Ким ◽  
В. В. Яковлев ◽  
Н. М. Аничков ◽  
...  
Keyword(s):  
Risk Factors ◽  
Acute Coronary Syndrome ◽  
Comparative Evaluation ◽  
Clinical Characteristics ◽  
Adverse Outcomes ◽  
Optimal Method ◽  
Coronary Syndrome ◽  
Increased Risk

Синдром старческой астении у пациентов с острым коронарным синдромом признается как один из факторов риска развития неблагоприятных исходов после перенесенных кардиохирургических вмешательств, и поиск оптимального метода оценки данного синдрома мог бы быть скринингом по выявлению пациентов с повышенным риском. В данном исследовании сравнивается два метода оценки синдрома старческой астении у пациентов с острым коронарным синдромом, его распространенность у данной категории больных, связь с клиническими характеристиками и смертностью через 1 год после госпитализации. По результатам исследования, синдром старческой астении наблюдали чаще в группе пациентов старше 75 лет. Больные со старческой астенией, определенной по шкале Green, имели выше риск по шкале GRACE, и наличие данного синдрома было независимым предиктором смертности через 1 год после госпитализации. The syndrome of senile asthenia (frailty) in patients with acute coronary syndrome is recognized as one of the risk factors for the development of adverse outcomes after undergoing cardiosurgical interventions, and the search for an optimal method for assessing this syndrome could be a screening to identify patients at increased risk. This study compares two methods for assessing senile asthenia syndrome in patients with acute coronary syndrome, its prevalence in this category of patients, its relationship with clinical characteristics and 1-year mortality after hospitalization. According to the results of the study, senile asthenia syndrome was observed more often in the group of patients older than 75 years. Patients with senile asthenia assessment using the Green scale had a higher risk on the GRACE scale and the presence of this syndrome was an independent 1-year mortality predictor after hospitalization.

scholarly journals Immediate clinical and angiographic outcomes after delayed percutaneous coronary interventions in patients with acute coronary syndrome

2019 ◽  
Vol 3 (Issue 4) ◽  
pp. 193
Author(s):  
S.D. Chevgun ◽  
I.Z. Abdyldaev ◽  
B.S. Daniyarov ◽  
I.H. Bebezov ◽  
E.F. Badrakly ◽  
...  
Keyword(s):  
Acute Coronary Syndrome ◽  
Left Ventricle ◽  
Medical Therapy ◽  
Percutaneous Coronary Interventions ◽  
Coronary Syndrome ◽  
Coronary Interventions ◽  
St Segment ◽  
Percutaneous Coronary ◽  
Optimal Drug ◽  
Significant Difference

Objective:  Coronary artery disease (CAD) remains the leading cause of premature death. Clinical management of patients with such disorders as acute coronary syndrome (ACS) is still one of the most important and debated issues in modern medicine. Some patients fail to come on  the most relevant and recommended time for percutaneous coronary interventions (PCI) to receive an effective treatment. This study analyzed the results of the practical approach to the “compelled” delayed percutaneous coronary interventions (DPCI) in patients with acute coronary syndrome. Methods: The study was performed retrospectively. From 2013 to 2016, there were 141 patients with CAD. The DPCI group with an average admission time when symptoms onset  counts 89.4±17.5 hours was compared with the groups with medical therapy only (MT) and PCI after stabilization (PPCI). Results: The revascularization Index in DPCI was 0.90±0.18 and in PPCI made 0.89±0.2 (p˃0.05). The percentage of ST segment recovery in the DPCI was 72.8% in patients with elevation, and 87% with ST segment depression. At the same time in comparison with the medical therapy group, a significant difference was found according to this criterion (45.2% and 67.2%, respectively) (p˂0.05). There were marked changes in DPCI in the data of the echocardiogram due to the reduction in  the size of the left ventricle after delayed PCI. The main role in increasing the ejection fraction in DPCI group was the contraction of the left ventricle cavity during the end of systolic phase. In DPCI group 39 convalescents (92.9%) reached condition stabilization. All-cause mortality during hospitalization in the DPCI was noted for 3 patients (7.1%) and 9 patients (18%) in the MT (p˂0.05). The PPCI group had no lethal cases. Conclusion: Delayed PCI in patients with ACS is safe and effective procedure. The use of delayed PCI in combination with optimal drug therapy is the most appropriate non-surgical method of myocardial revascularization in the studied cohort of patients. Delayed PCI results showed greater efficacy in the dynamics of the clinical and functional patient’s status compared to PCI performed after ACS stabilization.

scholarly journals Increased plasma levels of hsa-miR-21-5p in patients with reduced left ventricle ejection fraction admitted urgently due to acute coronary syndrome

2020 ◽  
Vol 5 (4) ◽  
pp. 250-255
Author(s):  
Michał Krzysztof Kowara ◽  
Wiktor Paskal ◽  
Agata Gondek ◽  
Renata Główczyńska ◽  
Karolina Rybak ◽  
...  
Keyword(s):  
Acute Coronary Syndrome ◽  
Left Ventricle ◽  
Ejection Fraction ◽  
Plasma Levels ◽  
Left Ventricle Ejection Fraction ◽  
Coronary Syndrome

scholarly journals The Structural-Functional Peculiarities of Heart in Patients with Acute Coronary Syndrome

2021 ◽  
Vol 27 (1) ◽  
Author(s):  
Ihor Vakaliuk ◽  
Iyad Alzghawi
Keyword(s):  
Myocardial Infarction ◽  
Acute Coronary Syndrome ◽  
Coronary Angiography ◽  
Left Ventricle ◽  
Ejection Fraction ◽  
Multivessel Disease ◽  
St Segment Elevation ◽  
Coronary Syndrome ◽  
Left Ventricle Remodeling ◽  
St Segment

Acute coronary syndrome (ACS) is associated with very high morbidity and mortality. The American Heart Association estimates – approximately every 40 seconds an American has a myocardial infarction. The aim of this study was to evaluate the structural-functional peculiarities of heart remodeling in patients with acute coronary syndrome. Material and Methods. In this observational cohort trial there were observed 184 patients with ACS. Coronary angiography was performed at admission, and lesions that reduced the lumen area at 50% or more were considered angiographically significant. Transthoracic echocardiography was performed in accordance with recommendations of the American Society of Echocardiography. Results. The mean age of all observed patients with ACS was 64.6±11.9 years; 93 (50.5%) were males. ACS with persistent ST segment elevation more often was presented as the anterior-lateral myocardial infarction with persistent ST segment elevation (STEMI) – in 70 (50.0%) cases. Among patients with STEMI the left anterior descending coronary artery (LAD) was mostly affected as infarction-related artery (IRA): in 74 (52.9%) cases at initial urgent coronary angiography. Multivessel disease (MVD) was identified in 22 (15.7%) patients with STEMI. The most significant variations of EchoCG parameters were observed in STEMI patients with MVD on coronary angiography (Table 2): dilatation of left atrium and left ventricle (increased of End-diastolic volume (EDV), End-systolic volume (ESV), End-diastolic diameter (EDD) and End-systolic diameter (ESD)) and low ejection fraction (EF) of left ventricle. Low EF of left ventricle was observed in 6 patients with culprit of LAD, 3 patients with culprit of LCx and in 6 patients with MVD (φ=0.244; p<0.05). Conclusion. Acute STEMI is caused by significant left ventricle remodeling (dilatation and ejection fraction decrease) in case of multivessel disease in coronary angiography.

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