ANALYSIS OF LETHAL OUTCOME IN ACUTE TRANSMURAL MYOCARDIAL INFARCTION IN OPERATED AND NON- OPERATED PERSONS

Abstract

The cardiovascular disease are the one of the main causes of hospitalization and mortality in Russia and the other countries. Myocardial infarction, the problem of treatment and timely diagnosis is one of the most actual, socially significant and foreground tasks of world and domestic health care. The coronary stenting is the most widely implemented medical practice which is the main treatment for myocardial infarction. The main indications for it are significant stenosis of the left coronary artery, three-vascular or two-vascular lesion, stable angina pectoris, acute coronary syndrome. The analyze of fatal outcomes in acute transmural myocardial infarction in operated and non-operated individuals is the aim of the study. The unoperated accounted for 87% of cases operated on 13% of cases, while all of patients had absolute indications for stenting immediately. Transmural myocardial infarction was twice as often in men, and five years earlier than in women. This indicate that the female sex is more resistant to diseases of the cardiovascular system. Transmural infarction had a different location, more often than the anterior, anterolateral wall of the left ventricle and septum. The operation was not performed in connection with a serious and extremely serious condition caused by cardiogenic, arrhythmogenic shock, pulmonary artery thromboembolism in most cases of study. The cause of deaths was repeated myocardial infarction due to postresuscitation disease, stent thrombosis and intraoperative asystole in all cases of surgical intervention. It should be noted, that the reason for the late untimely initiation of treatment in the most of the dead was the initial refusal of hospitalization.