russjcardiolРоссийский кардиологический журналRussian Journal of Cardiology1560-40712618-7620«SILICEA-POLIGRAF» LLC10.15829/1560-4071-2015-2-104-109russjcardiol-242Research ArticleОБЗОРЫ ЛИТЕРАТУРЫREVIEWПРЕДСТАВЛЕНИЯ О ВЛИЯНИИ ПРЕДВАРИТЕЛЬНОЙ КОРОНАРНОЙ РЕВАСКУЛЯРИЗАЦИИ НА ЧАСТОТУ РАЗВИТИЯ КАРДИАЛЬНЫХ ОСЛОЖНЕНИЙ ВНЕСЕРДЕЧНЫХ ХИРУРГИЧЕСКИХ ВМЕШАТЕЛЬСТВOPINIONS ABOUT THE INFLUENCE OF PRELIMINAL CORONARY REVASCULARIZATION ON THE PREVALENCE OF CARDIAL COMPLICATIONS IN NONCARDIAC SURGERYСурковаЕ. А.SurkovaE. A.

к. м.н., ассистент кафедры пропедевтической терапии

lenasurkova@list.ruЩукинЮ. В.ShchukinYu. V.

д.м.н., профессор, зав. кафедрой пропедевтической терапии, проректор СамГМУ по учебной и социальной работе

ГБОУ ВПО Самарский государственный медицинский университет МЗ России, СамараРоссияSBEI HPE Samara State Medical University of the Ministry of Healthcare, SamaraRussian Federation20152802201502104109Copyright © Суркова Е.А., Щукин Ю.В., 20152015Суркова Е.А., Щукин Ю.В.Surkova E.A., Shchukin Y.V.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://russjcardiol.elpub.ru/jour/article/view/242

Прогнозирование и профилактика кардиальных осложнений внесердечных хирургических вмешательств является важной клинической задачей. На сегодняшний день многое известно о различных шкалах прогнозирования риска развития инфаркта миокарда и смерти в периоперационном периоде, а также о медикаментозных возможностях их профилактики. Вопрос о пользе выполнения коронарографии и превентивной коронарной реваскуляризации перед внесердечными хирургическими вмешательствами у пациентов высокого кардиального риска остается спорным. В данном обзоре рассмотрены взгляды на патогенез развития периоперационного инфаркта миокарда, а также подробно проанализированы результаты существующих ретроспективных и проспективных исследований эффективности и безопасности различных видов предварительной коронарной реваскуляризации для снижения частоты кардиальных осложнений внесердечных хирургических вмешательств.

Prognosis and prevention of cardiac complications of non-cardiac surgery is an important clinical task. Currently quite a lot is known on various scales of myocardial infarction risk prognosis and the death in perioperational period, as on drug treatment and prevention. The issue whether to perform coronary arteriography and preventive coronary revascularization before noncardiac surgical interventions in patients with high cardiological risk score remains controversial. Current review concerns on the perspectives of perioperational myocardial infarction pathogenesis and also analyses in details the results of current retro- and prospective studies of efficacy and safety of various types of preventive coronary revascularization with the aim to reduce the prevalence of extracardiac surgery.

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The authors declare that there are no conflicts of interest present.