Tolpygina Svetlana Nikolaevna,Толпыгина Светлана Николаевна,Martsevich Sergej Yurevich,Марцевич Сергей Юрьевич,Deev Aleksandr Dmitrievich,Деев Александр Дмитриевич
申请号：
RU2017116177
公开号：
RU0002649964C1
申请日:
2017.05.10
申请国别(地区):
RU
年份:
2018
代理人:
摘要：
FIELD: medicine.SUBSTANCE: invention relates to medicine, cardiology. Complaints and anamnesis of disease are collected from patient with chronic coronary heart disease, including therapy, IHD course, presence of severe chronic heart failure, concomitant chronic lung diseases or renal insufficiency, stroke in anamnesis, electro- and echocardiography are conducted. Following indicators are analyzed: complaints of shortness of breath, presence of verified ischemic heart disease, instability of its course: myocardial infarction, acute coronary syndrome, or angina progression in frequency and intensity in the last 3 months reception of diuretics presence of a stroke in anamnesis, chronic lung disease or kidney failure, presence of tachycardia on resting ECG, stenosis of aortic valve of atherosclerotic or non-atherosclerotic – congenital or rheumatic origin, violations of diastolic function and decrease in contractility of myocardium of the left ventricle according to echocardiography. Risk index of remote death and nonfatal cardiovascular complications (RINDEX) is calculated in the patients with chronic ischemic heart disease is derived as a total score of all the criteria. Mortality risk and nonfatal cardiovascular complications is correlated with derived RINDEX value.EFFECT: method allows accurate assessing of mortality risk and cardiovascular complications, choosing optimal tactics for diagnosis and treatment, resolving problem of priority of direction a patient with high risk to high-tech treatments.1 cl, 3 exИзобретение относится к медицине, кардиологии. У пациента с хронической ишемической болезнью сердца собирают жалобы и анамнез заболевания, включая терапию, течение ИБС, наличие тяжелой хронической сердечной недостаточности, сопутствующих хронических заболеваний легких или почечной недостаточности, инсульта в анамнезе, проводят электро- и эхокардиографию. Анализируют следующие показатели: жалобы на одышку, наличие верифицированной ишемической болезни сердца, нес
