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Российский кардиологический журнал

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Повреждение миокарда после внесердечных операций: современное состояние проблемы и нерешенные вопросы

https://doi.org/10.15829/1560-4071-2019-11-122-132

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Аннотация

В обзоре  на основе данных литературы последнего  десятилетия, рекомендаций  международных  и  национальных  профессиональных сообществ   обобщены сведения о повреждении миокарда  после внесердечных  хирургических операций  (ПМВО). Отражен  растущий  интерес  к этой  междисциплинарной проблеме, вызванный широкой распространенностью и тесной ассоциацией ПМВО со  смертностью  в послеоперационном периоде.  Проанализированы наблюдательные  исследования, посвященные поиску факторов риска и механизмов повреждения  миокарда  при хирургическом вмешательстве на других органах. Сделан акцент на роли бессимптомного повышения сердечных тропонинов, не уступающего по своей клинической и прогностической  значимости послеоперационному инфаркту миокарда.  Изложены современные подходы к диагностике  и профилактике  ПМВО. С учетом результатов  недавно завершившегося первого рандомизированного контролируемого  исследования MANAGE (2018) обсуждены возможности  и перспективы  лечения ПМВО. Определены  нерешенные  вопросы и направления  дальнейших исследований в этой области.

Об авторах

К. В. Протасов
Иркутская государственная медицинская академия последипломного образования — филиал ФГБОУ ДПО Российская медицинская академия непрерывного профессионального образования Минздрава России
Россия

Протасов Константин Викторович — доктор медицинских наук профессор, заведующий  кафедрой  кардиологии  и функциональной диагностики.

Иркутск.

SPIN-код 7898-9690



О. А. Большедворская
Областной онкологический диспансер
Россия

Большедворская Ольга Александровна — врач-терапевт торакального отделения.

Иркутск.



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Для цитирования:


Протасов К.В., Большедворская О.А. Повреждение миокарда после внесердечных операций: современное состояние проблемы и нерешенные вопросы. Российский кардиологический журнал. 2019;(11):122-132. https://doi.org/10.15829/1560-4071-2019-11-122-132

For citation:


Protasov K., Bolshedvorskaya O. Myocardial injury after non-cardiac surgery: current state of the problem and unresolved issues. Russian Journal of Cardiology. 2019;(11):122-132. (In Russ.) https://doi.org/10.15829/1560-4071-2019-11-122-132

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