«CLASS OF EVIDENCE IIB» FOR ACUTE HEART FAILURE: WHEN, WHO, WHY?

Despite a high level of standartization of principal approaches for acute coronary syndrome treatment, in acute cardiac care department there often occur cases when therapy is not to be included in present recommendations as they are non-effective and impossible for application. Myocardial infarctio...

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Main Authors: A. M. Namitokov, F. R. Achmiz, A. S. Shimko, E. S. Dumanyan, A. A. Skopets, P. V. Sukhoruchkin, O. A. Pozdnyakova, E. D. Kosmacheva, V. A. Porhanov
Format: Article
Language:English
Published: Scientific Research Institute, Ochapovsky Regional Clinical Hospital no. 1 2019-02-01
Series:Инновационная медицина Кубани
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Online Access:https://inovmed.elpub.ru/jour/article/view/69
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author A. M. Namitokov
F. R. Achmiz
A. S. Shimko
E. S. Dumanyan
A. A. Skopets
P. V. Sukhoruchkin
O. A. Pozdnyakova
E. D. Kosmacheva
V. A. Porhanov
author_facet A. M. Namitokov
F. R. Achmiz
A. S. Shimko
E. S. Dumanyan
A. A. Skopets
P. V. Sukhoruchkin
O. A. Pozdnyakova
E. D. Kosmacheva
V. A. Porhanov
author_sort A. M. Namitokov
collection DOAJ
description Despite a high level of standartization of principal approaches for acute coronary syndrome treatment, in acute cardiac care department there often occur cases when therapy is not to be included in present recommendations as they are non-effective and impossible for application. Myocardial infarction is one of those situations especially when it is complicated by cardiogenic shock and ventricular arrhythmia. For overwhelming majority of ‘standard’ situations we apply recommendations with a high level of evidence I or IIa. Below we present a clinical case of treatment for acute coronary syndrome with ST-segment elevation, when non-routine used recommendations with class of evidence IIb were of great importance.
format Article
id doaj-art-c9cbfc01c7904e47bfb2f04ff224e8ae
institution Kabale University
issn 2500-0268
2541-9897
language English
publishDate 2019-02-01
publisher Scientific Research Institute, Ochapovsky Regional Clinical Hospital no. 1
record_format Article
series Инновационная медицина Кубани
spelling doaj-art-c9cbfc01c7904e47bfb2f04ff224e8ae2025-08-20T03:48:31ZengScientific Research Institute, Ochapovsky Regional Clinical Hospital no. 1Инновационная медицина Кубани2500-02682541-98972019-02-0162343769«CLASS OF EVIDENCE IIB» FOR ACUTE HEART FAILURE: WHEN, WHO, WHY?A. M. Namitokov0F. R. Achmiz1A. S. Shimko2E. S. Dumanyan3A. A. Skopets4P. V. Sukhoruchkin5O. A. Pozdnyakova6E. D. Kosmacheva7V. A. Porhanov8Scientific Research Institute – Ochapovsky Regional Clinical Hospital no. 1, The Krasnodar Krai Ministry of HealthScientific Research Institute – Ochapovsky Regional Clinical Hospital no. 1, The Krasnodar Krai Ministry of HealthScientific Research Institute – Ochapovsky Regional Clinical Hospital no. 1, The Krasnodar Krai Ministry of HealthScientific Research Institute – Ochapovsky Regional Clinical Hospital no. 1, The Krasnodar Krai Ministry of HealthScientific Research Institute – Ochapovsky Regional Clinical Hospital no. 1, The Krasnodar Krai Ministry of HealthScientific Research Institute – Ochapovsky Regional Clinical Hospital no. 1, The Krasnodar Krai Ministry of HealthScientific Research Institute – Ochapovsky Regional Clinical Hospital no. 1, The Krasnodar Krai Ministry of HealthScientific Research Institute – Ochapovsky Regional Clinical Hospital no. 1, The Krasnodar Krai Ministry of HealthScientific Research Institute – Ochapovsky Regional Clinical Hospital no. 1, The Krasnodar Krai Ministry of HealthDespite a high level of standartization of principal approaches for acute coronary syndrome treatment, in acute cardiac care department there often occur cases when therapy is not to be included in present recommendations as they are non-effective and impossible for application. Myocardial infarction is one of those situations especially when it is complicated by cardiogenic shock and ventricular arrhythmia. For overwhelming majority of ‘standard’ situations we apply recommendations with a high level of evidence I or IIa. Below we present a clinical case of treatment for acute coronary syndrome with ST-segment elevation, when non-routine used recommendations with class of evidence IIb were of great importance.https://inovmed.elpub.ru/jour/article/view/69acute coronary syndromemyocardial infarctionacute heart failurelevosimendan
spellingShingle A. M. Namitokov
F. R. Achmiz
A. S. Shimko
E. S. Dumanyan
A. A. Skopets
P. V. Sukhoruchkin
O. A. Pozdnyakova
E. D. Kosmacheva
V. A. Porhanov
«CLASS OF EVIDENCE IIB» FOR ACUTE HEART FAILURE: WHEN, WHO, WHY?
Инновационная медицина Кубани
acute coronary syndrome
myocardial infarction
acute heart failure
levosimendan
title «CLASS OF EVIDENCE IIB» FOR ACUTE HEART FAILURE: WHEN, WHO, WHY?
title_full «CLASS OF EVIDENCE IIB» FOR ACUTE HEART FAILURE: WHEN, WHO, WHY?
title_fullStr «CLASS OF EVIDENCE IIB» FOR ACUTE HEART FAILURE: WHEN, WHO, WHY?
title_full_unstemmed «CLASS OF EVIDENCE IIB» FOR ACUTE HEART FAILURE: WHEN, WHO, WHY?
title_short «CLASS OF EVIDENCE IIB» FOR ACUTE HEART FAILURE: WHEN, WHO, WHY?
title_sort class of evidence iib for acute heart failure when who why
topic acute coronary syndrome
myocardial infarction
acute heart failure
levosimendan
url https://inovmed.elpub.ru/jour/article/view/69
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