Journal «Angiology and Vascular Surgery» •
2021 • VOLUME 27 • №2
Cardiac ruptures in acute myocardial infarction
Sukovatykh B.S.1, Bolomatov N.V.2, Sidorov D.V.3, Sukovatykh M.B.1
1) Department of General Surgery, Kursk State Medical University of the FR Ministry of Public Health, Kursk,
2) Department of Roentgenosurgical Methods of Diagnosis and Treatment, National Medical and Surgical Centre named after N.I. Pirogov, Moscow,
3) Department of Roentgenosurgical Methods of Diagnosis and Treatment, Orel Regional Clinical Hospital, Orel, Russia
Presented in the article are the generalized data of the Russian and foreign literature addressing the currently important problem of myocardial ruptures as one of the most dangerous complications of infarction, also analysing the results of clinical studies on interconnection of heart ruptures with systemic thrombolytic therapy and with a percutaneous coronary intervention. This is followed by describing the mechanisms that may lead to myocardial rupture during thrombolytic therapy and surgical endovascular treatment, underlying the necessity of pharmacological pre- and post-conditioning for prevention of reperfusion myocardial lesions. The article also touches upon the clinical and instrumental diagnosis of myocardial ruptures, as well as approaches to surgical treatment depending on the type of rupture and necessity of myocardial revascularization.
KEY WORDS:acute myocardial infarction, cardiac rupture, percutaneous coronary intervention, thrombolytic therapy, preconditioning, diagnosis, treatment.
P. 191
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