Modern views on myocardial electric instability correction and prognosis improvement in coronary heart disease patients

Sudden cardiac death (SCD) remains the principal cause of coronary heart disease (CHD) deaths. Therefore, studying SCD mechanisms, implementing new prognostic and preventive approaches are the main aims of modern cardiology. The review analyzes modern approaches to myocardial electrical instability...

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Main Authors: V. V. Popov, A. E. Radzevich
Format: Article
Language:Russian
Published: «SILICEA-POLIGRAF» LLC 2007-06-01
Series:Кардиоваскулярная терапия и профилактика
Subjects:
Online Access:https://cardiovascular.elpub.ru/jour/article/view/1272
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author V. V. Popov
A. E. Radzevich
author_facet V. V. Popov
A. E. Radzevich
author_sort V. V. Popov
collection DOAJ
description Sudden cardiac death (SCD) remains the principal cause of coronary heart disease (CHD) deaths. Therefore, studying SCD mechanisms, implementing new prognostic and preventive approaches are the main aims of modern cardiology. The review analyzes modern approaches to myocardial electrical instability correction and prognosis improvement in CHD patients. It has been proved that among all antiarrhythmics, beta-adrenoblockers only, and perhaps amiodaron, can reduce SCD incidence. Total mortality and SCD rate reduction has been demonstrated for ACE inhibitors, aspirin, statins, aldosterone antagonists. Recent clinical trials have proved that implanted cardioverters-defibrillators are more effective than pharmaceutical treatment in SCD prevention among high-risk patients.
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institution Kabale University
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language Russian
publishDate 2007-06-01
publisher «SILICEA-POLIGRAF» LLC
record_format Article
series Кардиоваскулярная терапия и профилактика
spelling doaj-art-27f9a18858394b828cfe5d729b66aa6e2025-08-20T03:43:27Zrus«SILICEA-POLIGRAF» LLCКардиоваскулярная терапия и профилактика1728-88002619-01252007-06-0163106115983Modern views on myocardial electric instability correction and prognosis improvement in coronary heart disease patientsV. V. Popov0A. E. Radzevich1Moscow State Medico-Stomatological University, Central Hospital No. 6, Russian Railways Company, MoscowMoscow State Medico-Stomatological University, Central Hospital No. 6, Russian Railways Company, MoscowSudden cardiac death (SCD) remains the principal cause of coronary heart disease (CHD) deaths. Therefore, studying SCD mechanisms, implementing new prognostic and preventive approaches are the main aims of modern cardiology. The review analyzes modern approaches to myocardial electrical instability correction and prognosis improvement in CHD patients. It has been proved that among all antiarrhythmics, beta-adrenoblockers only, and perhaps amiodaron, can reduce SCD incidence. Total mortality and SCD rate reduction has been demonstrated for ACE inhibitors, aspirin, statins, aldosterone antagonists. Recent clinical trials have proved that implanted cardioverters-defibrillators are more effective than pharmaceutical treatment in SCD prevention among high-risk patients.https://cardiovascular.elpub.ru/jour/article/view/1272coronary heart diseaselife-threatening arrhythmiassudden cardiac deathbeta-adrenoblockersace inhibitorsimplanted cardioverters-defibrillators
spellingShingle V. V. Popov
A. E. Radzevich
Modern views on myocardial electric instability correction and prognosis improvement in coronary heart disease patients
Кардиоваскулярная терапия и профилактика
coronary heart disease
life-threatening arrhythmias
sudden cardiac death
beta-adrenoblockers
ace inhibitors
implanted cardioverters-defibrillators
title Modern views on myocardial electric instability correction and prognosis improvement in coronary heart disease patients
title_full Modern views on myocardial electric instability correction and prognosis improvement in coronary heart disease patients
title_fullStr Modern views on myocardial electric instability correction and prognosis improvement in coronary heart disease patients
title_full_unstemmed Modern views on myocardial electric instability correction and prognosis improvement in coronary heart disease patients
title_short Modern views on myocardial electric instability correction and prognosis improvement in coronary heart disease patients
title_sort modern views on myocardial electric instability correction and prognosis improvement in coronary heart disease patients
topic coronary heart disease
life-threatening arrhythmias
sudden cardiac death
beta-adrenoblockers
ace inhibitors
implanted cardioverters-defibrillators
url https://cardiovascular.elpub.ru/jour/article/view/1272
work_keys_str_mv AT vvpopov modernviewsonmyocardialelectricinstabilitycorrectionandprognosisimprovementincoronaryheartdiseasepatients
AT aeradzevich modernviewsonmyocardialelectricinstabilitycorrectionandprognosisimprovementincoronaryheartdiseasepatients