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Embolic myocardial infarction. Experience in diagnosis and management

Шилова А. С., Гилярова Е. М., Андреев Д. А., Щекочихин Д. Ю., Новикова Н. А., Гиляров М. Ю.
Рациональная фармакотерапия в кардиологии
Т. 14, Вып. 3, С. 361-369
Опубликовано: 2018
Тип ресурса: Статья

DOI:10.20996/1819-6446-2018-14-3-361-369

Аннотация:
Acute myocardial infarction (AMI) is one of the main causes of morbidity and mortality, both in the Russian Federation and around the world. Approximately, in up to 10[%] of patients with clinical diagnostic features of AMI, early angiography does not reveal an occluded vessel or possibly any evidence of coronary artery disease. These patients constitute an intriguing subgroup referred to as "Myocardial Infarction with Non-Obstructive Coronary Arteries" (MINOCA). MINOCA is a collective concept that unites many different pathologies, which determines the essential heterogeneity of the etiological factors. Coronary artery embolism is recognized as an important non-atherosclerotic cause of AMI. In turn, the most common underlying disease in those with coronary embolism is the atrial fibrillation. The advantages of reperfusion strategy and cardioprotective therapy in the treatment of obstructive arteriosclerosis are well studied, widely presented in the literature and supported by a strong e
Ключевые слова:
Atrial fibrillation; Coronary embolism; Myocardial infarction; Myocardial infarction with non-obstructive coronary arteries
cardiovascular agent; angiocardiography; Article; atrial fibrillation; embolic myocardial infarction; heart infarction; heart muscle reperfusion; human
Язык текста: Русский
ISSN: 2225-3653
Шилова А. С.
Гилярова Е. М. Екатерина Михайловна 1992-
Андреев Д. А. Денис Анатольевич 1968-
Щекочихин Д. Ю. Дмитрий Юрьевич 1985-
Новикова Н. А.
Гиляров М. Ю. Михаил Юрьевич 1967-
Shilova A. S.
Gilyarova E. M. Ekaterina Mikhaylovna 1992-
Andreev D. A. Denis Anatolyevich 1968-
Shhekochikhin D. Yu. Dmitrij Yuryevich 1985-
Novikova N. A.
Gilyarov M. Yu. Mikhail Yuryevich 1967-
Embolic myocardial infarction. Experience in diagnosis and management
Текст визуальный непосредственный
Рациональная фармакотерапия в кардиологии
Столичная издательская компания
Т. 14, Вып. 3 С. 361-369
2018
Статья
Atrial fibrillation Coronary embolism Myocardial infarction Myocardial infarction with non-obstructive coronary arteries
cardiovascular agent angiocardiography Article atrial fibrillation embolic myocardial infarction heart infarction heart muscle reperfusion human
Acute myocardial infarction (AMI) is one of the main causes of morbidity and mortality, both in the Russian Federation and around the world. Approximately, in up to 10[%] of patients with clinical diagnostic features of AMI, early angiography does not reveal an occluded vessel or possibly any evidence of coronary artery disease. These patients constitute an intriguing subgroup referred to as "Myocardial Infarction with Non-Obstructive Coronary Arteries" (MINOCA). MINOCA is a collective concept that unites many different pathologies, which determines the essential heterogeneity of the etiological factors. Coronary artery embolism is recognized as an important non-atherosclerotic cause of AMI. In turn, the most common underlying disease in those with coronary embolism is the atrial fibrillation. The advantages of reperfusion strategy and cardioprotective therapy in the treatment of obstructive arteriosclerosis are well studied, widely presented in the literature and supported by a strong e