Survival after endovascular interventions in acute coronary syndrome
DOI:
https://doi.org/10.11603/2414-4533.2021.4.12726Keywords:
acute coronary syndrome, stenting, survivalAbstract
The aim of the work: analysis of long-term results of treatment of acute coronary syndrome in real clinical practice.
Materials and Methods. Data of the register of patients with acute myocardial infarction (MI) were analyzed, which included data on 280 cases: group 1 – 213 patients with MI who underwent endovascular intervention; group 2 – 53 patients who received standard conservative therapy, group 3 – 14 patients with MI with multivascular lesions, who after CAG underwent coronary artery bypass surgery (CABS) in the conditions of artificial circulation.
Results and Discussion. Starting from the acute period of myocardial infarction and up to 25 months, the survival curves differ significantly from the best results in patients who underwent percutaneous intervention of culprit coronary artery with restoration of blood flow to TIMI-3. The reliability of the obtained model of cardiovascular death was – χ2 = 56.47, p <0.0001.
It was found that patients who underwent percutaneous intervention of culprit coronary artery had an exacerbation of coronary heart disease less often than patients who received only conservative therapy in the acute period of myocardial infarction. In patients with acute coronary syndrome despite delays in treatment initiation, and violation of optimal intervention time intervals, the use of endovascular intervention in the first day of infarction allows significantly reducing the occurrence of adverse cardiovascular events and improve the patients survival in the long period.
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