Abstract
In order to study the gender and age characteristics of the state of the coronary arteries in patients with first-time acute coronary syndrome in the form of first-time angina pectoris, 103 patients of both sexes hospitalized for emergency indications in the primary vascular center of the Krasnoyarsk City Emergency Hospital were examined by a continuous sampling method. All patients underwent emergency or delayed coronary angiography according to the generally accepted method. According to coronary angiography data, hemodynamically significant atherosclerotic plaques requiring angioplasty were recorded in patients with first-time angina pectoris in the form of first-time acute coronary syndrome in approximately 18.5% of cases. At the same time, "diffuse lesions" of the coronary arteries, "narrowing of the coronary arteries by 30% or more" and "narrowing of the coronary arteries by 70% or more" were more often detected among elderly men compared to women of the same age range. Therefore, from the standpoint of therapeutic tactics, it is reasonable to conduct coronary angiography in these patients, which, if necessary, can be transformed into percutaneous transluminal coronary angioplasty.
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