Clinical current and outcomes of the acute coronary syndrome

M. M. Kiselevich, О.А. Efremova, G. Petrova
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Abstract

The article is devoted to the study of acute coronary syndrome. The analysis was conducted 1206 of case histories from middle-aged, elderly and senile patients with acute coronary syndrome. Evaluated by clinical symptoms and risk factors of acute coronary syndrome, laboratory tests, electrocardiography (ECG) in 12 leads and echocardiography. That was dominated by men (61.8 %), middle and old age (35.8 % and 39.0 % respectively). On the outcome of the confirmed the diagnosis of unstable angina or heart attack the myocardium. The effectiveness of the treatment amounted to 92.0 %.Tthe results showed that patients with non-ST segment elevations (NSTEMI), which were later discharged from hospital; it was 4 times more than with ST segment elevation (STEMI). Deceased patients group STEMI and NSTEMI nobody. However, it was noted that most of the dead with NSTEMI accounted for patients with unstable angina. However, it was noted that most of the dead comprised patients with unstable angina. They all had a high degree of risk (male sex, advanced age, background and comorbidic diseases), the outcome also influenced the time from the beginning of symptoms before entering hospital and treatment tactics.
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急性冠状动脉综合征的临床现状及预后
这篇文章致力于急性冠状动脉综合征的研究。对1206例中、老年、老年急性冠状动脉综合征患者的病史进行分析。通过急性冠脉综合征的临床症状和危险因素、实验室检查、12导联心电图和超声心动图进行评价。以男性(61.8%)、中年和老年(分别为35.8%和39.0%)为主。对不稳定型心绞痛或心肌梗塞的诊断结果进行分析。治疗有效率达92.0%。结果显示,非st段抬高(NSTEMI)患者,随后出院;ST段抬高组(STEMI)的4倍以上。死者组STEMI和非STEMI没有。然而,值得注意的是,大多数NSTEMI死亡患者为不稳定型心绞痛患者。然而,值得注意的是,大多数死者是不稳定型心绞痛患者。他们都有很高的风险(男性、高龄、背景和合并症),结果也影响到从症状开始到进入医院的时间和治疗策略。
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