COMPARATIVE ANALYSIS OF DEMOGRAPHIC, ANAMNESTIC, CLINICAL-LABORATORY AND INSTRUMENTAL DATA IN PATIENTS WITH MYOCARDIAL INFARCTION WITH AND WITHOUT OBSTRUCTIVE LESION OF CORONARY ARTERIES
https://doi.org/10.29001/2073-8552-2018-33-4-69-75
Abstract
Objective: to give a comparative characterization of myocardial infarction with and without obstructive lesion of coronary arteries.
Material and Methods. The study involved 4639 patients included in the first total register of acute coronary syndrome in the Krasnodar Territory for the first 12 months of register operation. A comparative analysis of patients with myocardial infarction with obstructive lesion and without obstructive lesion of coronary arteries was performed.
Results. Between November 2016 and November 2017, 4453 patients with myocardial infarction with obstructive coronary disease, including 2261 men (50.8%) and 2192 women (49.2%) were enrolled in the register. The mean age of patients was 68.3±12.03 years (69.3±3.42 years in men; 63.4±7.35 years in women). The criteria for myocardial infarction without obstructive coronary artery disease were present in 186 people (4.1%), including 72 men (38.7%) and 114 women (72.3%). The average age of the patients was 54.2±4.53 years; age of men with myocardial infarction without obstructive coronary disease was 56.3±3.52 years; age of women was 52.1±3.12 years. The article presents a detailed comparative analysis of demographic, medical history, clinical-instrumental, and laboratory data of these patient groups.
Conclusion. Compared with patients who had obstructive coronary changes, the cohort of patients with myocardial infarction without obstructive lesions of the coronary arteries was younger and included more female patients; among the risk factors in this group, smoking and arterial hypertension were significant; the rates of newly diagnosed diabetes mellitus and Q-positive myocardial infarction were higher. According to the analysis of echocardiographic data, significant decrease in global contractility of the left ventricular myocardium was less common; analysis of laboratory data showed that patients more often had low platelet count.
About the Authors
S. V. Kruchinova
Scientific Research Institution — Regional Clinical Hospital No. 1 named after Professor S. V. Ochapovsky
Kuban State Medical University
Russian Federation
Russian Federation
Postgraduate Student, Department of Therapy No. 1, Cardiologist
167, May 1 str., Krasnodar, 350068, Russian Federation
4, M. Sedina str., Krasnodar, 350063, Russian Federation
E. D. Kosmacheva
Scientific Research Institution — Regional Clinical Hospital No. 1 named after Professor S. V. Ochapovsky
Kuban State Medical University
Russian Federation
Russian Federation
Dr. Sci. (Med.), Professor, Deputy Chief Physician,
Head of the Department of Therapy No. 1
167, May 1 str., Krasnodar, 350068, Russian Federation
4, M. Sedina str., Krasnodar, 350063, Russian Federation
V. A. Porkhanov
Scientific Research Institution — Regional Clinical Hospital No. 1 named after Professor S. V. Ochapovsky
Russian Federation
Russian Federation
Dr. Sci. (Med.), Full Member of the Russian Academy of Sciences, Chief Physician
167, May 1 str., Krasnodar, 350068, Russian Federation
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Review
For citations:
Kruchinova S.V., Kosmacheva E.D., Porkhanov V.A. COMPARATIVE ANALYSIS OF DEMOGRAPHIC, ANAMNESTIC, CLINICAL-LABORATORY AND INSTRUMENTAL DATA IN PATIENTS WITH MYOCARDIAL INFARCTION WITH AND WITHOUT OBSTRUCTIVE LESION OF CORONARY ARTERIES. Siberian Journal of Clinical and Experimental Medicine. 2018;33(4):69-75. (In Russ.) https://doi.org/10.29001/2073-8552-2018-33-4-69-75
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