Способ ведения пациентов с острым коронарным синдромом в условиях медицинского учреждения, располагающего специализированным отделением чрескожных коронарных вмешательств
Kireev Konstantin Aleksandrovich,Киреев Константин Александрович,Krasnopeev Aleksandr Valerevich,Краснопеев Александр Валерьевич,Tsarev Aleksej Petrovich,Царев Алексей Петрович
申请号：
RU2015132515
公开号：
RU0002641851C2
申请日:
2015.08.04
申请国别(地区):
RU
年份:
2018
代理人:
摘要：
FIELD: medicine.SUBSTANCE: emergency coronary angiography is performed: for patients diagnosed with acute coronary syndrome without ST segment elevation, if at least one of the "high risk factors" is detected for patients with acute coronary syndrome with ST segment elevation, who did not undergo thrombolytic therapy at the prehospital stage for patients with acute coronary syndrome with ST segment elevation, who underwent thrombolytic therapy, but it was not effective. Coronary angiography is urgently performed for 3-6 h: for patients with acute coronary syndrome without ST segment elevation, in the absence of "high-risk factors", in the absence of troponin I level elevation, with a GRACE score>140 for patients with acute coronary syndrome with ST segment elevation, if the effect of the thrombolytic therapy on prehospital stage is revealed. Coronarography is performed in a delayed manner for 24 hours for patients diagnosed with acute coronary syndrome without ST segment elevation, in the absence of "high risk factors", in the absence of troponin I level increase, with a GRACE score>108<140, if one of the factors exists for patients with acute coronary syndrome without ST segment elevation, in the absence of "high-risk factors", in the absence of troponin I increase, with a GRACE score>108<140, in the absence of one of the factors. Coronarography is not performed: for patients with acute coronary syndrome without ST segment elevation, in the absence of "high risk factors", in the absence of troponin I increase, with a GRACE score of <108.EFFECT: method allows to reduce hospital lethality and risk of haemorrhagic complications, and allows to make a decision in a short time about the timeliness and urgency of coronary angiography and intermittent coronary intervention according to its results.1 dwgИзобретение относится к медицине, а именно к кардиологии. Проводят экстренную коронарографию: пациентам с диагнозом острый коронарный синдром без подъема сегмента ST, при вы
