UNSTABLE ANGINA: SPECIFIC FEATURES OF PATHOGENESIS AND TREATMENT

We have analyzed the results of treatment of 1325 patients with unstable angina, all men aged 35 to 75. All pateitns received a standard of intensive treatment with aspirin, infusion of nitroglycerin and heparin or LMWH and the usage of b-blockers. Arrhythmias required antiarrhythmic treatment inclu...

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Main Author: S. A. Chernov
Format: Article
Language:Russian
Published: «FIRMA «SILICEA» LLC 2002-02-01
Series:Российский кардиологический журнал
Subjects:
Online Access:https://russjcardiol.elpub.ru/jour/article/view/1893
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author S. A. Chernov
author_facet S. A. Chernov
author_sort S. A. Chernov
collection DOAJ
description We have analyzed the results of treatment of 1325 patients with unstable angina, all men aged 35 to 75. All pateitns received a standard of intensive treatment with aspirin, infusion of nitroglycerin and heparin or LMWH and the usage of b-blockers. Arrhythmias required antiarrhythmic treatment including electrical procedures. ST segment elevation or newly emerged LBBB (acute coronary syndrome) required thrombolysis. Treatment yielded good results in 862 patients (65%), satisfactory in 195 (14.5%) and unsatisfactory in 132 (10%). 66 patients (5%) had ineffective conservative treatment, myocardial infarction developed in 70 (5.5%), of which 3 died (2%).34 patients with critical one- or two-vessel disease underwent PTCA and stenting with good short-term result, just one of them developed a non-fatal MI during the procedure. 125 patients underwent autovenous coronary bypass of which the short-term results were as follows: non-fatal MI in 6 (4.5%), post-surgery death in 3 (2.4%). Angina seized in 103 of 116 patients (89%). The best short-term results were observed in patients stabilized by the time of intervention.
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institution Kabale University
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series Российский кардиологический журнал
spelling doaj-art-7f57b41b6a4d49bbb4d031030efe3ba82025-08-20T03:43:44Zrus«FIRMA «SILICEA» LLCРоссийский кардиологический журнал1560-40712618-76202002-02-01016101653UNSTABLE ANGINA: SPECIFIC FEATURES OF PATHOGENESIS AND TREATMENTS. A. Chernov0Главный военный клинический госпиталь им. Н.Н. Бурденко, МоскваWe have analyzed the results of treatment of 1325 patients with unstable angina, all men aged 35 to 75. All pateitns received a standard of intensive treatment with aspirin, infusion of nitroglycerin and heparin or LMWH and the usage of b-blockers. Arrhythmias required antiarrhythmic treatment including electrical procedures. ST segment elevation or newly emerged LBBB (acute coronary syndrome) required thrombolysis. Treatment yielded good results in 862 patients (65%), satisfactory in 195 (14.5%) and unsatisfactory in 132 (10%). 66 patients (5%) had ineffective conservative treatment, myocardial infarction developed in 70 (5.5%), of which 3 died (2%).34 patients with critical one- or two-vessel disease underwent PTCA and stenting with good short-term result, just one of them developed a non-fatal MI during the procedure. 125 patients underwent autovenous coronary bypass of which the short-term results were as follows: non-fatal MI in 6 (4.5%), post-surgery death in 3 (2.4%). Angina seized in 103 of 116 patients (89%). The best short-term results were observed in patients stabilized by the time of intervention.https://russjcardiol.elpub.ru/jour/article/view/1893unstable anginasurgical and drug treatmenthemodynamics
spellingShingle S. A. Chernov
UNSTABLE ANGINA: SPECIFIC FEATURES OF PATHOGENESIS AND TREATMENT
Российский кардиологический журнал
unstable angina
surgical and drug treatment
hemodynamics
title UNSTABLE ANGINA: SPECIFIC FEATURES OF PATHOGENESIS AND TREATMENT
title_full UNSTABLE ANGINA: SPECIFIC FEATURES OF PATHOGENESIS AND TREATMENT
title_fullStr UNSTABLE ANGINA: SPECIFIC FEATURES OF PATHOGENESIS AND TREATMENT
title_full_unstemmed UNSTABLE ANGINA: SPECIFIC FEATURES OF PATHOGENESIS AND TREATMENT
title_short UNSTABLE ANGINA: SPECIFIC FEATURES OF PATHOGENESIS AND TREATMENT
title_sort unstable angina specific features of pathogenesis and treatment
topic unstable angina
surgical and drug treatment
hemodynamics
url https://russjcardiol.elpub.ru/jour/article/view/1893
work_keys_str_mv AT sachernov unstableanginaspecificfeaturesofpathogenesisandtreatment