Comparative Evaluation Of The Effectiveness Of Interventional Treatment Of Patients With Myocardial Infarction Based On Data Of Ternopil Region
DOI:
https://doi.org/10.11603/2414-4533.2017.1.7663Keywords:
myocardial infarction, coronary artery stenting, medical efficiency, average length of stay of patients in treatment, motor mode.Abstract
The aim of the work: to determine the effectiveness of medical coronary artery stenting in patients with myocardial infarction (MI).
Materials and Methods. The study used data from medical records of 278 in-patients with MI who were hospitalized in the Ternopil City Community Hospital (TCCH) No2. Methods used: data copying, statistical and analytical methods.
Results and Discussion. For the study of effectiveness of cardiology interventions, two groups of patients were selected. The first group consisted of 173 patients diagnosed with myocardial infarction who underwent urgent coronary angiography and stenting of coronary arteries (SCA) with balloon angioplasty. The second group consisted of patients diagnosed with myocardial infarction (94) who underwent conventional treatment. This examined the localization and depth of the heart muscle lesions, and clinical manifestations. Hypertension was revealed in patients in the first and second groups in 75.1 % and 84.0 % of cases respectively and type II diabetes in 19.1 % and 33.0 % respectively. The average length of stay of a hospitalized patient in the first group was significantly lower – 12.0 ± 0.17 b/d – than in the second group of patients – 12.9±0.29 b/d. The study also found a significant increase in motor activity in patients with interventional therapy (878.6 ±53.33 m and 591.5 ±34.67 m respectively). Patients with myocardial infarction who underwent SCA, unlike patients with MI who received conventional treatment, showed the best indicators of medical care efficiency. Thus, significantly lower average length of stay of a hospitalized patient at significantly greater motor mode expansion was observed.
References
Savchenko, A.P., Cherkavskaya, O.V., & Rudenko, B.A. (2010). Interventsyonnaya kardiologiya. Koronarnaya angiografiya i stentirovanye. Rukovodstvo [Interventional cardiology. Coronary angiography and stenting. Handbook]. Moscow: HÉOTAR-Medya [in Russian].
Knyshov, H.V., Nastenko, Ye.A., & Matviichuk A.O. (2014). Systema otsinky deformatsii koronarnykh arterii pry stentuvanni abo aortokoronarnomu shuntuvanni [System of evaluation of deformations of coronary arteries at stenting or coronary artery bypass surgery]. Systemni doslidzhennia ta informatsiini tekhnolohii – Systemic Research and Information Technology, 3, 17-24. Retreived from: http://nbuv.gov.ua/UJRN/sdtit_2014_3_4 [in Ukrainian].
Sokolov, Yu.N., Sokolov, M.Yu., Tsyzh, A.V. & Chubko, N.Yu. (2006). Viddaleni rezultaty perkutannoyi rekanalizatsii khronichnykh okliuzii koronarnykh arterii [Long-term results of percutaneous recanalization of chronic occlusions of coronary arteries]. Sertse i sudyny – Heart and Vessels, 1 (13), 34-40 [in Ukrainian].
Kudria, I.P., & Shevchenko T.I. (2014). Otsinka perebihu ta yakosti zhyttia u khvorykh na ishemichnu khvorobu sertsia pislia stentuvannia koronarnykh arterii [Evaluation of the course and quality of life of patients with coronary heart disease after coronary artery stenting]. Aktualni problemy suchasnoi medytsyny – Current Problems of Modern Medicine, 14 (2), 19-22 [in Ukrainian].
Besh D.I. (2010). Vplyv stentuvannia koronarnykh arterii na perebih ishemichnoi khvoroby sertsia u patsiientiv z infarktom miokarda v anamnezi [Influence of coronary arteries stenting on the course of coronary artery disease in patients with a history of myocardial infarction]. Patolohiia – Pathology, 7 (3), 17-20. – Retrieved from: http://nbuv.gov.ua/UJRN/pathology_2010_7_3_5 [in Ukrainian].
Tadel-Kocjancic S., Zorman S., & Jazbec A. (2008) Effectiveness of primary percutaneous coronary intervention for acute ST-elevation myocardial infarction from a 5-year single-center experience. Am. J. Cardiol., 101 (2), 162-168.
Nakaz MOZ Ukrainy № 455 Unifikovanyi klinichnyi protokol ekstrenoi, pervynnoi, vtorynnoi (spetsializovanoi) ta tretynnoi (vysokospetsializovanoi) medychnoi dopomohy ta medychnoi reabilitatsii «Hostryi koronarnyi syndrom z elevatsiieiu sehmenta ST»: zatv. vid 02.07.2014roku [Approved by Order of the Ministry of Health of Ukraine No 455 Unified clinical protocol of emergency, primary, secondary (specialized) and tertiary (highly specialized) care and medical rehabilitation "Acute coronary syndrome with ST-segment elevation»: of 02.07.2014]. Kyiv: DSMPDP «Derzh. eksp. tsentr MOZ Ukrainy», 92 [in Ukrainian].
Kovalenko, V.N., Dolzhenko, M.N., Nesukai, E.G., & Diachenko, Ya.S. (2016). Sravnitelnaya kharakteristika profilaktiky serdechno-sosudystykh zabolevaniy v Ukraine i Evrope po dannym EUROASPIRE IV: hospitalnaya liniya [Comparative characteristics of prevention of cardiovascular diseases in Ukraine and in Europe according to the data of EUROASPIRE IV: Hospital Line]. Arter. gipertenziya – Arterial Hypertension, 1(45), 57-61 [in Russian].
Radchenko, A.M., & Koroliuk O.Ya. (2015). Osoblyvosti perebihu ta likuvannia ishemichnoi khvoroby sertsia u khvorykh z porushenniam metabolizmu hliukozy ta tsukrovym diabetom [Features of the course and treatment of coronary heart disease in patients with impaired glucose metabolism and diabetes]. Mizhnar. endokrynol. zhurn – International Journal of Endocrinology, 6, 11-16. [in Ukrainian].
Downloads
Published
How to Cite
Issue
Section
License
Authors who publish their work in Hospital Surgery. Journal by L. Ya. Kovalchuk agree to the following terms:
- Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
- Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
- Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work (See The Effect of Open Access)