НОВЫЕ СИНДРОМЫ И ПАТТЕРНЫ ОСТРОЙ ОККЛЮЗИИ КОРОНАРНЫХ АРТЕРИЙ. ОБЗОР ЛИТЕРАТУРЫ.
Введение. Острый коронарный синдром остается ведущей причиной смертности и заболеваемости во всем мире, необходимости оказания неотложной помощи и скорейшего оперативного лечения. Традиционно диагноз острого коронарного синдрома основывается на клиническом анамнезе, электрокардиографических изменениях и сердечных биомаркерах, но в спектре острого коронарного синдрома существуют тонкие нетипичные проявления, которые возможно не суметь диагностировать и, следовательно не оказать необходимую помощь. Синдром Велленса и паттерн Аслангера является одним из таких примеров, при котором у пациента могут наблюдаться изменения ЭКГ, не характерные для ишемии миокарда, и даже отрицательные сердечные биомаркеры.
Цель исследования. Изучить распространенность, диагностические критерии, гемодинамические показатели и тактику ведения пациентов с паттерном Аслангера и синдромом Велленса.
Методы. Нами был проведен аналитический обзор руководства европейского общества кардиологов с 2020года по 2023год, а также источников в открытом доступе из научных баз данных Scopus, PubMed, Google Scholar, Web of Science, e-library. Для поиска были использованны ключевые слова: «острый коронарный синдром», «паттерн Аслангера», «синдром Велленса», «антиагрегантная терапия», «антикоагулянтная терапия». Публикации, включенные в обзор литературы, были полнотекстовые статьи на английском языке.
Результаты и выводы. Всего было проанализировано 212, из них цели исследования и критериям включения соответствовали 73. Паттерн Аслангера и синдромом Велленса являются острыми коронарными синдромами высокого риска и их своевременное выявление имеет важное диагностическое и прогностическое значение. Таким образом, эти синдромы и паттерны считается эквивалентом острого инфаркта миокарда с подъемом сегмента.
Дамир Б. Бикташев1, https://orcid.org/0000-0003-4364-3586
Шолпан Т. Жукушева1, https://orcid.org/0000-0003-1902-8284
Жанар Б. Ахметова2, https://orcid.org/0000-0001-9220-5596
Сауле Ж. Кубекова1, https://orcid.org/0000-0001-5358-3690
Динара З. Садыкова1, https://orcid.org/0000-0003-3834-5648
1 НАО «Медицинский университет Астана», Кафедра внутренних болезней с курсом гастроэнтерологии, эндокринологии и пульмонологии, г. Астана, Республика Казахстан;
2. НАО «Медицинский университет Астана», Кафедра реабилитологии и спортивной медицины,
г. Астана, Республика Казахстан.
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Бикташев Д.Б., Жукушева Ш.Т., Ахметова Ж.Б., Кубекова С.Ж., Садыкова Д.З. Новые синдромы и паттерны острой окклюзии коронарных артерий. Обзор литературы // Наука и Здравоохранение. 2023. 6(Т.25). С. 171-180. DOI 10.34689/SH.2023.25.6.020Похожие публикации:
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