The First International Scientific Teleconference
"Cardiovascular Surgery and Angiology - 2003"
Y.P.Ostrovsky, A.P.Shket, L.G.Gelis, L.G.Shestakova, I.D.Shugay, O.F.Kardash, A.V.Valentukevich, E.G.Poloiko, O.L.Polonetsky, A.E.Beimanov
URGENT SURGICAL REVASCULARIZATION IN PATIENTS WITH ACUTE CORONARY SYNDROMES
Belorussian Center Cardiology
Minsk, Belorus
Efficacy of urgent coronary revascularization in acute coronary syndrome patients (25 pts with unstable angina and non-Q-wave infarction and 22 pts with complicated Q-wave myocardial infarction) was assessed. We studied 47 patients who were performed emergent CABG procedure (20 pts on pump, 27 off pump). Hospital mortality rate was 8,5% (4 pts), the main cause was an acute heart failure. There was clinical stabilization, increasing in contractive capacity, diastolic function improvement, ischemic index decreasing among survivals. In case of complicated myocardial infarction urgent revascularization increased survival to 86,4%. There was prolonged antiischemic effect in the result of the management.
Key words: acute coronary syndrome, unstable angina, acute myocardial infarction, urgent surgical revascularization.
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