ОСОБЕННОСТИ ПОРАЖЕНИЯ КОРОНАРНЫХ АРТЕРИЙ У МУЖЧИН МОЛОЖЕ 60 ЛЕТ С ОСТРОЙ ЗАДЕРЖКОЙ МОЧИ ПРИ ИНФАРКТЕ МИОКАРДА

Abstract

Relevance. Acute urinary retention (AUR) adversely affects the the patient’s quality of life and the prognosis of myocardial infarction (MI). Aim. To evaluate features of the coronary arteries state in men under 60 years old with myocardial infarction complicated by AUR to improve prevention and outcomes. Material and methods. The study included men aged 19-60 years old with MI were studied. The patients were divided into two age comparable groups: I - study group, with AUR - seven patients; II - control, without it - 132 patients. A comparative analysis of the coronary angiography indicators, AUR risk analysis (Pearson's Chi-square) were performed. Results. The study group did not differ from the control group in the numbers of affected arteries and the extent of the lesion, its localization and depth. The study group was characterized by complete occlusion of the coronary arteries (in the study group: 100%; control: 32.7%; p = 0.003), the absence of revascularization (0 and 17.0%; respectively; p = 0.03), re-current lesions (22.7 and 3.7%; p ˂ 0.0001), as well as a large maximum stenosis (100.0 ± 0 and 92.8 ± 10.6%; p = 0.03). The same parameters were associated with the risk of AUR development. Conclusions. Men under than 60 years old with AUR in MI are characterized by a higher incidence of complete occlusions of the coronary arteries and failure to perform revascularization. These angiographic parameters indicate that the patient belongs to the high-risk group for severe MI and the development of AUR. It is advisable to use them for the timely imple-mentation of preventive measures and for predictive modeling.