title: [Immediate and remote results of endovascular treatment of patients with postinfarction cardiosclerosis].
abstract: Two approaches in treatment of 131 patients with postinfarction cardiosclerosis are compared in the work. Tactics of "total" myocardial revascularization means restoration of coronary blood flow in all arteries with hemodynamically significant lesion while "selective" revascularization provides restoration of coronary blood flow only in those arteries which have a viable myocardium in their pool. It was concluded that restoration of coronary blood flow in patients after myocardial infarction permits to prevent postinfarction heart remodeling, development of heart failure thereby affecting on the prognosis. Evaluation of myocardial viability in the area of suggested surgery increases efficiency of revascularization, reduces number of implantable stents and decreases frequency of unfounded coronary interventions. Elimination of ischemia in the area of hibernation provides a rapid restoration of myocardial contractility in most of left ventricle segments with initially impaired kinetics. It was revealed that terms of contractility restoration of hibernating myocardium depend on duration of hibernation period up to revascularization.
authors.affiliation: Rossiĭskiĭ universitet druzhby narodov, Moskva; Tsentral'naia klinicheskaia bol'nitsa #2 im. N.A. Semashko OAO "RZhD", Moskva.
authors.forename: A V
authors.initials: AV
authors.lastname: Patrikeev
authors.affiliation: Rossiĭskiĭ universitet druzhby narodov, Moskva; Kraevaia bol'nitsa #2, Khabarovsk.
authors.forename: V Ia
authors.initials: VI
authors.lastname: Rudman
authors.affiliation: Rossiĭskiĭ universitet druzhby narodov, Moskva; Tsentral'naia klinicheskaia bol'nitsa #2 im. N.A. Semashko OAO "RZhD", Moskva.
authors.forename: D A
authors.initials: DA
authors.lastname: Maksimkin
authors.affiliation: Rossiĭskiĭ universitet druzhby narodov, Moskva; Tsentral'naia klinicheskaia bol'nitsa #2 im. N.A. Semashko OAO "RZhD", Moskva.
authors.forename: V Iu
authors.initials: VI
authors.lastname: Baranovich
authors.affiliation: Rossiĭskiĭ universitet druzhby narodov, Moskva; Tsentral'naia klinicheskaia bol'nitsa #2 im. N.A. Semashko OAO "RZhD", Moskva.
authors.forename: A G
authors.initials: AG
authors.lastname: Faĭbushevich
authors.affiliation: Rossiĭskiĭ universitet druzhby narodov, Moskva.
authors.forename: G I
authors.initials: GI
authors.lastname: Veretnik
authors.affiliation: Rossiĭskiĭ universitet druzhby narodov, Moskva.
authors.forename: A V
authors.initials: AV
authors.lastname: Mambetov
authors.affiliation: Rossiĭskiĭ universitet druzhby narodov, Moskva; Tsentral'naia klinicheskaia bol'nitsa #2 im. N.A. Semashko OAO "RZhD", Moskva.
authors.forename: Z Kh
authors.initials: ZK
authors.lastname: Shugushev
mesh_terms: D000368:Aged; D025401:Echocardiography, Stress / Q000379:methods; D005260:Female; D006333:Heart Failure / Q000209:etiology / Q000517:prevention & control*; D006801:Humans; D008297:Male; D008875:Middle Aged; D009203:Myocardial Infarction / Q000150:complications / Q000175:diagnosis / Q000503:physiopathology / Q000601:surgery; D015425:Myocardial Reperfusion / Q000379:methods*; D009204:Myocardial Revascularization / Q000379:methods*; D011237:Predictive Value of Tests; D011379:Prognosis; D061665:Time-to-Treatment; D016896:Treatment Outcome