Prezentaciya Na Temu Oslozhneniya Infarkta Miokarda

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-simptomy-metody-diagnostiki-i-vozmozhnye-oslozhneniya-zabolevaniya 0.8.://domelochei.com/47639-prodolzhitelnost-zhizni-posle-infarkta-miokarda 0.8.

Background: Bleeding after percutaneous coronary interventions (PCI) is an important complication with impact on prognosis. Aim: To evaluate the predictive value of enhanced platelet responsiveness to dual antiplatelet therapy with aspirin and clopidogrel, for bleeding, after elective PCI.

Film korea semi full. Method and results: We performed multiple electrode aggregometry (MAE) platelet functional tests induced by arachidonic acid (ASPI) and adenosine-diphosphate (ADP) before PCI, and 24 hours after PCI, in 481 elective PCI patients who were followed-up for an average of 15.34±7.19 months. Primary end point was the occurrence of any bleeding, while ischemic major adverse cardiovascular event (MACE) was a secondary endpoint. The incidence of total, BARC≤2, and BARC≥3 bleeding, according to BARC classification, was 19%, 18% and 1%, respectively.

Groups with any, and BARC≤2 bleeding, had a lower average value of MAE ADP test after 24h, compared to the group without bleeding: 45.30±18.63 U vs. 50.99±19.01 U; p=0.005.

Cardiovascular diseases are the leading cause of death among patients with impaired lung function. It is known that pulmonary hypertension and right heart failure are often companion of severe chronic obstructive pulmonary disease (COPD). Left ventricular dysfunction is still not well studied and it is the subject of numerous studies in patients with COPD in recent years. The aim of this dissertation is to examine the function of left ventricle and the presence of pulmonary hypertension in patients with COPD.

Infarkta

Materials and Methods: The study included 120 patients who meet the GOLD criteria for COPD. They were divided into four groups of 30 patients for each of the four stages of the disease.

All patients underwent echocardiography and spiropletismography. Results: Analysis of the obtained values of the systolic function parameters (stroke volume (SV) and it’s index (SVI), ejection fraction (EF), fractional shortening) show impaired systolic left ventricular function in patients with COPD.