Clinical efficacy of chronic total coronary occlusions recanalization in patients with angina of low functional classes
Goal: to investigate angiographic and clinical efficacy of percutaneous coronary interventions (PCI) on chronic total coronary occlusions (СТО) in patients with angina of low functional classes (FC) in direct and long-term period, comparatively to conservative medical treatment. Materials: 56 patien...
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Saratov State Medical University
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Online Access: | http://www.ssmj.ru/system/files/201201_063-067_.pdf |
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doaj-6399b52b5d6c4b5387b06def9c681cf42021-07-02T02:36:54ZrusSaratov State Medical UniversityСаратовский научно-медицинский журнал1995-00392076-25182012-03-0181063067Clinical efficacy of chronic total coronary occlusions recanalization in patients with angina of low functional classesRuzanov I.S.Shitikov I.V.Titkov I.V.Razborova I.В.Sanbaev A.K.Zhuravel M.S.Oleynik A.O.Goal: to investigate angiographic and clinical efficacy of percutaneous coronary interventions (PCI) on chronic total coronary occlusions (СТО) in patients with angina of low functional classes (FC) in direct and long-term period, comparatively to conservative medical treatment. Materials: 56 patients with СТО were included. Standard medical treatment was provided to all of them, everybody suffered angina FC 1-2. Left ventricle ejection fraction (LV EF) was 54±3%. 36 patients of group I underwent PCI of СТО 20 patients of group II were given conservative medical treatment. The follow-up period was 12 months. Results. In 30 patients of group I 36 attempts of PCI were angiographically and clinically successful -the absence of anginal symptoms and objective signs of myocardial ischemia. In the long-term period 21 patients of 30 had clinical success. LV EF increased to 57±4%. Long-term clinical success had 17 patients of group II, 5 patients had the decrement of angina FC by 1, 12 had initial clinical results. LV EFaccountes53,9±2,4%. There was no difference in the frequency of major adverse cardiac events between the groups. Conclusions: PCI of СТО in patients with angina of low FC improves clinical status in direct and long-term period. When isolated, angiographically unfavorable form of СТО is diagnosed, conservative treatment with effective medication in case of angina of low FC is usedhttp://www.ssmj.ru/system/files/201201_063-067_.pdfchronic adnexitischronic total coronary occlusionsrecanalization |
collection |
DOAJ |
language |
Russian |
format |
Article |
sources |
DOAJ |
author |
Ruzanov I.S. Shitikov I.V. Titkov I.V. Razborova I.В. Sanbaev A.K. Zhuravel M.S. Oleynik A.O. |
spellingShingle |
Ruzanov I.S. Shitikov I.V. Titkov I.V. Razborova I.В. Sanbaev A.K. Zhuravel M.S. Oleynik A.O. Clinical efficacy of chronic total coronary occlusions recanalization in patients with angina of low functional classes Саратовский научно-медицинский журнал chronic adnexitis chronic total coronary occlusions recanalization |
author_facet |
Ruzanov I.S. Shitikov I.V. Titkov I.V. Razborova I.В. Sanbaev A.K. Zhuravel M.S. Oleynik A.O. |
author_sort |
Ruzanov I.S. |
title |
Clinical efficacy of chronic total coronary occlusions recanalization in patients with angina of low functional classes |
title_short |
Clinical efficacy of chronic total coronary occlusions recanalization in patients with angina of low functional classes |
title_full |
Clinical efficacy of chronic total coronary occlusions recanalization in patients with angina of low functional classes |
title_fullStr |
Clinical efficacy of chronic total coronary occlusions recanalization in patients with angina of low functional classes |
title_full_unstemmed |
Clinical efficacy of chronic total coronary occlusions recanalization in patients with angina of low functional classes |
title_sort |
clinical efficacy of chronic total coronary occlusions recanalization in patients with angina of low functional classes |
publisher |
Saratov State Medical University |
series |
Саратовский научно-медицинский журнал |
issn |
1995-0039 2076-2518 |
publishDate |
2012-03-01 |
description |
Goal: to investigate angiographic and clinical efficacy of percutaneous coronary interventions (PCI) on chronic total coronary occlusions (СТО) in patients with angina of low functional classes (FC) in direct and long-term period, comparatively to conservative medical treatment. Materials: 56 patients with СТО were included. Standard medical treatment was provided to all of them, everybody suffered angina FC 1-2. Left ventricle ejection fraction (LV EF) was 54±3%. 36 patients of group I underwent PCI of СТО 20 patients of group II were given conservative medical treatment. The follow-up period was 12 months. Results. In 30 patients of group I 36 attempts of PCI were angiographically and clinically successful -the absence of anginal symptoms and objective signs of myocardial ischemia. In the long-term period 21 patients of 30 had clinical success. LV EF increased to 57±4%. Long-term clinical success had 17 patients of group II, 5 patients had the decrement of angina FC by 1, 12 had initial clinical results. LV EFaccountes53,9±2,4%. There was no difference in the frequency of major adverse cardiac events between the groups. Conclusions: PCI of СТО in patients with angina of low FC improves clinical status in direct and long-term period. When isolated, angiographically unfavorable form of СТО is diagnosed, conservative treatment with effective medication in case of angina of low FC is used |
topic |
chronic adnexitis chronic total coronary occlusions recanalization |
url |
http://www.ssmj.ru/system/files/201201_063-067_.pdf |
work_keys_str_mv |
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