Государственное образовательное учреждение высшего профессионального образования "Воронежская государственная медицинская академия им. Н.Н. Бурденко" Министерства здравоохранения и социального развити
发明人:
Минаков Эдуард Васильевич (RU),Астахова Мария Анатольевна (RU)
申请号：
RU2011113115/14
公开号：
RU2011113115A
申请日:
2011.04.05
申请国别(地区):
RU
年份:
2012
代理人:
摘要：
FIELD: medicine.SUBSTANCE: for the purpose of individual prediction of developing acute post-infarction cardiac aneurysm in the patients suffering large-focal myocardial infarction associated with type 2 diabetes mellitus, clinical and laboratory parameters are evaluated on the first day after admission to hospital. A probability is calculated by formula: the probability of developing aneurism = -5.97561 + 2.29343× interventricular septum thickness + 0.115033× triglycerides -0.110837× total cholesterol -0.0143738× heart rate per minute + 0.676339× end-diastolic dimension + 0.598774× Killip class of acute heart failure - 0.00988886× length of arterial hypertension + 0.0951111× blood glucose + 0.0165178× glycohemoglobin - 0.274047× remodelling type + 0.18664× sex - 0.0175495× age + 0.114326× length of diabetes mellitus. Interventricular septum thickness, left ventricular end-diastolic dimension are expressed in cm triglycerides, total cholesterol, blood glucose and glycohemoglobin are expressed in mole/l length of diabetes mellitus and age are expressed in years. Myocardial remodelling type is assessed by a score scale - the absence of hypertrophy means 0 points the concentric hypertrophy means 1 point the concentric remodelling 2 points the eccentric hypertrophy means 3 points. 0 Points are assigned to females, and 1 point is assigned to males. The systolic and diastolic pressure levels are expressed in mm Hg. If the derived coefficient makes 0.8 and more, a high probability of developing acute post-infarction cardiac aneurysm is stated. If the coefficient is less than 0.8, a probability of developing acute post-infarction cardiac aneurysm is considered to be minimal.EFFECT: method enables maximally accurate prediction of developing acute post-infarction cardiac aneurysm on the first day of myocardial infarction.1 exИзобретение относится к медицине, а именно к кардиологии, и может быть использовано для раннего индивидуального прогнозирования развития острой постинфар
