Microvascular Dysfunction in Patients with Incomplete Myocardial Revascularization in the Long -Term Period of Primary Percutaneous Coronary Intervention (Diagnosis and Treatment Opportunities)
Abstract
Of the present study is to investigate the microcirculatory status and
opportunity of infrared laser treatment in patients with incomplete
myocardial revascularization in the long-term period of primary
percutaneous coronary intervention.54 patients at 6 monthes after initial percutaneous coronary intervention
were examined: 24- with complete and 30- with incomplete
myocardial revascularization during acute coronary syndrome (ACS)
were assessed by means of 6-minute walking test, echocardiography,
parameters of microcirculation state and oxygen transfer to tissues
About the Authors
N. L. TsapaevaBelarus
N. V. Tarashkevich
Belarus
E. V. Mironova
Belarus
J. Shojan
Belarus
E. E. Konstantinova
Belarus
P. F. Chernoglaz
Belarus
D. I. Yurlevich
Belarus
References
1. Guidelines on myocardial revascularization: The Task Force on Myocardial Revascularization of the European Society of Cardiology (ESC) and the European Association for Cardio- Thoracic Surgery (EACTS). Eur. HeartJ., 2010, vol. 31, pp. 2501-2555.
2. Widimsky P., FajadetJ., Danchin N., Wijns W. «Stent 4 Life». Targeting PCI at all who will benefit the most. A joint project between EAPCI, Euro-PCR, EUCOMED and the ESC Working Group on Acute Cardiac Care. Eurointervention, 2009, vol. 4, no. 5, pp. 555-557.
3. ESC Guidelines for the management of acute myocardial infarction in patients presenting with ST-segment elevation. Eur. Heart J., 2012, vol. 33, no. 20, pp. 2569-2619.
4. Safley D., House J. Marso S. Improvement in survival following successful percutaneous coronary intervention of coronary chronic total occlusions: variability by target vessel. JACC Cardiovasc interv, 2008, vol. 1, no. 3, pp. 295-302.
5. Meier B., Luethy P., Finci L. Coronary wedge pressure in relation to spontaneously visible and recruitable collaterals. Circulation, 2008, vol. 75, pp. 906-913.
6. Sambuceti G., Marzilli M., Mari A., Marini C., Schluter M., Testa R., Papini M., Marraccini P., Ciriello G., Marzullo P., L'Abbate A. Coronary microcirculatory vasoconstriction is heterogeneously distributed in acutely ischemic myocardium. Am. J. Physiol. HeartCirc Physiol, 2005, vol. 288, no. 5, pp. 2298-2305.
7. Kaufmann P. A., Camici P. G. Myocardial blood flow by PET: technical aspects and clinicalapplications. J Hud Med,2005, vol. 46, no. 1, pp. 75-88.
8. Tsapaeva N. L, Chtchupak O.V, Shpilevoj В. N. Laser based optoelectronic system for therapy by medical treatment of cardiovascular dieses. J Europ Biomedical optics, 1995, vol. 6, Sp. Iss., pp. 50-53.
9. Tsapaeva N. L., Anchikova E. R., Konstantinova E. E., Tolstaja T. N., Mironova E. V. New method of myocardial protection in -pass surgery with preoperative infrared laser treatment. J inv Card., 2004, vol. 9, Sappl C, pp45-47.
10. Tsapaeva N. L. Rezultati individualizirovanoj IK-lazeroterapi v kompleksnom lechenii nestabilnoj stenokardii [Results of individual IR-laser influence in complex treatment of unstable angina]. Medicmskaj panorama, 2000, no.10, pp. 38-41. (in Russian).
11. Konstantinova E.E, Tsapaeva N N.L, Kurganovich А. М. Ustrojstvo dlia vizualnojozenki ikontroliamikrozirkulazii vklinike vnutrenichboleznee. Instrukcija na primenenie [Equipment for visualization of score and control microcirculation in internal medicine. Instruction to use], Minsk, 2001.18 p. (in Russian).
12. Tsapaeva N.L, Vlasova-PozanskajaЕ. V.MetodlecheniaIBSmfrakrasnimlaserom: Instrukcija na metod [The method of treatment IHD with infrared laser. Instruction to method], Минск, 1998, 18 p. (in Russian).
Review
For citations:
Tsapaeva N.L., Tarashkevich N.V., Mironova E.V., Shojan J., Konstantinova E.E., Chernoglaz P.F., Yurlevich D.I. Microvascular Dysfunction in Patients with Incomplete Myocardial Revascularization in the Long -Term Period of Primary Percutaneous Coronary Intervention (Diagnosis and Treatment Opportunities). Emergency Cardiology and Cardiovascular Risks journal. 2017;1(1):125-130. (In Russ.)









