cardiotomskСибирский журнал клинической и экспериментальной медициныSiberian Journal of Clinical and Experimental Medicine2713-29272713-265XTSU publishing10.29001/2073-8552-2023-38-2-98-103cardiotomsk-1793Research ArticleКЛИНИЧЕСКИЕ ИССЛЕДОВАНИЯCLINICAL STUDIESОсобенности ведения пожилых пациентов с инфарктом миокарда без подъема сегмента ST: анализ факторов риска, диагностика и тактика леченияFeatures of the management of elderly patients with non ST segment elevation myocardial infarction: analysis of risk factors, diagnosis and treatment strategyhttps://orcid.org/0000-0003-3235-3364ЗайнобидиновШ. Ш.ZaynobidinovSh. Sh.

Зайнобидинов Шохбозбек Шаробидин угли - врач по рентгенэндоваскулярным диагностике и лечению

630055, Российская Федерация, Новосибирск, ул. Речкуновская, 15 

Shokhbozbek Sh. Zaynobidinov - Surgeon, Department of Interventional Radiology Diagnostics and Treatment

15, Rechkunovskaya str., Novosibirsk, 630055, Russian Federation 

Shox.4454303@gmail.comhttps://orcid.org/0000-0001-5419-913XХелимскийД. А.KhelimskiiD. A.

Хелимский Дмитрий Александрович - канд. мед. наук, научный сотрудник, научно-исследовательский отдел эндоваскулярной хирургии, врач по рентгенэндоваскулярным диагностике и лечению  

630055, Российская Федерация, Новосибирск, ул. Речкуновская, 15 

Dmitrii A. Khelimskii - Cand. Sci. (Med.), Surgeon, Department of Interventional Radiology Diagnostics and Treatment 

15, Rechkunovskaya str., Novosibirsk, 630055, Russian Federation 

dkhelim@mail.ruhttps://orcid.org/0000-0002-2320-2233БарановА. А.BaranovA. A.

Баранов Алексей Алексеевич - аспирант

630055, Российская Федерация, Новосибирск, ул. Речкуновская, 15 

 Alexey A. Baranov - Graduate Student 

15, Rechkunovskaya str., Novosibirsk, 630055, Russian Federation 

ivrach@icloud.comhttps://orcid.org/0000-0002-1011-3397ГоргулькоА. П.GorgulkoA. P.

Горгулько Александр Павлович, аспирант

630055, Российская Федерация, Новосибирск, ул. Речкуновская, 15 

 Alexandr P. Gorgulko - Graduate Student 

15, Rechkunovskaya str., Novosibirsk, 630055, Russian Federation 

alexandergorgulko@gmail.comhttps://orcid.org/0000-0002-7083-2297МанукянС. Н.ManukianS. N.

Манукян Сережа Нерсесович - аспирант

630055, Российская Федерация, Новосибирск, ул. Речкуновская, 15 

 Serezha N. Manukian - Graduate Student

15, Rechkunovskaya str., Novosibirsk, 630055, Russian Federation 

sermanukyan88@gmail.comhttps://orcid.org/0000-0002-1384-7185НайденовР. А.NaydenovR. A.

Найденов Роман Александрович - канд. мед. наук, заведующий отделением рентгенохирургических методов диагностики и лечения, врач по рентгенэндоваскулярным диагностике и лечению

630055, Российская Федерация, Новосибирск, ул. Речкуновская, 15 

Roman A. Naydenov - Cand. Sci. (Med.), Surgeon, Head of Department of Endovascular Diagnostics and Treatment 

15, Rechkunovskaya str., Novosibirsk, 630055, Russian Federation 

r_naydenov@meshalkin.ruhttps://orcid.org/0000-0001-5214-8996КрестьяниновО. В.KrestyaninovO. V.

Крестьянинов Олег Викторович - д-р мед. наук, заведующий научно-исследовательским отделом эндоваскулярной хирургии, врач по рентгенэндоваскулярным диагностике и лечению

630055, Российская Федерация, Новосибирск, ул. Речкуновская, 15 

Oleg V. Krestyaninov - Dr. Sci. (Med.), Head of Center for Endovascular Surgery, Head of Department of Endovascular Diagnostics and Treatment 

15, Rechkunovskaya str., Novosibirsk, 630055, Russian Federation 

o_krestyaninov@meshalkin.ruНациональный медицинский исследовательский центр имени академика Е.Н. Мешалкина Министерства здравоохранения Российской ФедерацииРоссияE.Meshalkin National Medical Research Center of Ministry of Health of Russian FederationRussian Federation20230607202338298103Copyright © Зайнобидинов Ш.Ш., Хелимский Д.А., Баранов А.А., Горгулько А.П., Манукян С.Н., Найденов Р.А., Крестьянинов О.В., 20232023Зайнобидинов Ш.Ш., Хелимский Д.А., Баранов А.А., Горгулько А.П., Манукян С.Н., Найденов Р.А., Крестьянинов О.В.Zaynobidinov S.S., Khelimskii D.A., Baranov A.A., Gorgulko A.P., Manukian S.N., Naydenov R.A., Krestyaninov O.V.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.sibjcem.ru/jour/article/view/1793

Несмотря на развитие современных технологий в сфере здравоохранения, летальность от сердечно-сосудистых заболеваний занимает лидирующее место в структуре общей смертности населения. Применение современных методов лечения, особенно чрескожного коронарного вмешательства (ЧКВ), позволяет оказывать своевременную помощь пациентам с острым коронарным синдромом (ОКС) и способствует снижению частоты летальных событий. В настоящее время разработаны четкие алгоритмы ведения пациентов с инфарктом миокарда с подъемом сегмента ST (ИМпST), однако, несмотря на это, существуют парадигмы при ведении пациентов с инфарктом миокарда без подъема сегмента ST (ИМбпST). В первую очередь это связано с тем, что подавляюще большинство пациентов с ИМбпST представлены лицами пожилого и старческого возраста. В настоящей обзорной статье авторы описали основные факторы, которые негативно влияют на краткосрочный и долгосрочный прогноз и продемонстрировали результаты клинических исследований, посвященных к изучению данной проблемы.

Despite the technological developments in the healthcare industry, cardiovascular disease mortality occupies a leading place among the structure of general mortality of the population. The use of modern treatment methods, especially, percutaneous coronary intervention, provides timely assistance to patients with acute coronary syndrome and helps to reduce mortality frequency. Currently, clear algorithms for the management of patients with ST-segment elevation myocardial infarction have been developed. However, despite it, there are paradigms in the management of patients with non-ST-segment elevation myocardial infarction (NSTEMI). This is primarily due to the fact that the vast majority of patients with NSTEMI are elderly and senile persons. This review article presented the main factors that adversely affect short- and long-term prognosis and results of clinical studies dedicated to the study of this problem.

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The authors declare that there are no conflicts of interest present.