"VALUE "SYMPTOM-BALLOON" TIME IN ACUTE MYOCARDIAL INFARCTION WITH ST ELEVATION PATIENTS TO TREATMENT WITH PRIMARY ANGIOPLASTY WITH STENTING: RESULTS FROM REGISTRY OF PTCA IN ACUTE MYOCARDIAL INFARCTION OF REPUBLICAN RESEARCH CENTRE OF EMERGENCY MEDICINE, TASHKENT, UZBEKISTAN (CASE REPORT)

Abstract

Acute cardiovascular pathology is the most common causes of death and invalidism in a modern society, among acute disturbance of coronary circulation-acute myocardial infarction (AMI) occupies the leading place. The most important in treatment of patients with ST elevation AMI (STEAMI) at which in 95% of cases is observed full thrombotic occlusion of coronary artery, is restoration of adequate blood flow in arteries and steady maintenance of its tissue perfusion. As known, restoration of an adequate blood flow in infarct-related coronary artery (IRA) by drug management or mechanical way reduces the size of myocardium necrosis, promotes conservation of functional condition of heart, reduces hospital mortality and invalidism in the remote period of observation. Carrying out of emergency PTCA and stenting in early terms of disease provides sufficient blood flow current in the IRA, it limits necrosis zone and prevents development of dilatation and dysfunction of LV. Last decade numerous researches are carried out and results of the registers comparing efficiency of thrombolytic therapy (TLT) and PTCA at STEAMI are analyzed. As a result of comparison of medicamentous and invasive methods of coronary blood flow restoration researchers have come to conclusion that it is necessary to restore coronary blood flow by any accessible way as soon as possible. From the aforesaid the exclusive role of time in successful treatment of patients STEAMI becomes clear.<br />The aim of our work was in a study of clinical efficiency of PTCA and stenting of the IRA in various terms from the symptoms beginning by the retrospective analysis of results of treatment the patients STEAMI.