Features of interventional treatment of acute myocardial infarction without ST segment elevation ; Summary of Ph.D. thesis in medical sciences: 321.03 – Cardiology

التفاصيل البيبلوغرافية
العنوان: Features of interventional treatment of acute myocardial infarction without ST segment elevation ; Summary of Ph.D. thesis in medical sciences: 321.03 – Cardiology
المؤلفون: Surev, Artiom
سنة النشر: 2022
المجموعة: Institutional Repository in Medical Sciences of Nicolae Testemitanu State University of Medicine and Pharmacy
مصطلحات موضوعية: acute coronary syndrom (SCA), acute coronary syndrome without ST segment elevation (NST-SCA), acute coronary ST segment elevation syndrome (ST-SCA), acute myocardial infarction without ST-segment elevation (NSTEMI), acute myocardial infarction with ST-segment elevation (STEMI), C.Z.U: 616.127-005.8-089.819.1(043.2)
الوصف: Actuality of research topic. According to World Health Organization data, every year nearly 18 million people suffer from cardiovascular problems, which are the main cause of death in developing countries and constitute 31% in the overall mortality structure [1]. The highest proportion of cardiovascular mortality is asigned to acute coronary syndrom (SCA). The incidence of acute coronary syndrome without ST segment elevation (NST-SCA) is considerably more prevalent than that of acute coronary ST segment elevation syndrome (ST-SCA) (55 cases vs. 15 cases per 10000 inhabitants) [2]. Although in-hospital mortality of patients with acute myocardial infarction without STsegment elevation (NSTEMI) is lower than that of patients with acute myocardial infarction with ST-segment elevation (STEMI) (5% vs. 7%), the long-term estimated mortality in NSTEMI is higher [3]. Of a great importance is an adequate and timely treatment for acute myocardial infarction without ST-segment elevation in reducing overall mortality and disability both globally and particularily in the Republic of Moldova. Multiple randomized clinical trials and meta-analyzes have been demonstrated the superiority of the routine application of the invasive management strategy of NSTE-SCA over the selective application by decreasing the risk of death, as well as decreasing the number of repeated myocardial infarction, and the number of hospitalizations due to angina pectoris and repeated revascularizations [4, 5, 6]. Risks stratification by applying the criteria stipulated by the European Society of Cardiology (ESC), as wells as scores like GRACE (Global Registry of Acute Coronary Events), or TIMI (Thrombolysis in Myocardial Infarction) and other instruments is essential for choosing the optimal time window for implementing the strategy of invasive management. The current recommendations for the treatment of patients in the first 2 and 24 hours, considered in a group of very high and high risk, are based on large randomized clinical trials that have ...
نوع الوثيقة: other/unknown material
وصف الملف: application/pdf
اللغة: English
Relation: SUREV, Artiom. Features of interventional treatment of acute myocardial infarction without ST segment elevation: summary of Ph.D. thesis in medical sciences: 321.03 – Cardiology. Chisinau, 2022, 34 p.; http://repository.usmf.md/./handle/20.500.12710/19552
الاتاحة: http://repository.usmf.md/./handle/20.500.12710/19552
https://hdl.handle.net/20.500.12710/19552
رقم الانضمام: edsbas.1CE8A008
قاعدة البيانات: BASE