A patient with сoronary artery disease and multifocal atherosclerosis. How to optimize the prognosis?

Author:

Barbarash O. L.1,Kashtalap V. V.1

Affiliation:

1. Federal State Budgetary Institution Research Institute for Complex Issues of Cardiovascular Diseases; Federal State Budget Educational Institution of Higher Education Kemerovo State Medical University the Ministry of Health of the Russian Federation

Abstract

The review article summarized the positions of experts on the clinical and prognostic significance of multifocal atherosclerosis in patients with different forms of coronary heart disease and the impact of this phenomenon on overall cardiovascular risk based on the foreign and domestic studies, the guidelines of the European and North American Cardiological and Surgical Associations. It also presents the review of the modern clinical guidelines for antithrombotic therapy in patients with peripheral atherosclerosis. The review presents prospects for the optimization of antithrombotic therapy based on a recent clinical study.

Publisher

Remedium, Ltd.

Subject

General Medicine

Reference41 articles.

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2. Aboyans V, Ricco J-B, Bartelink M-LE L, Bjo¨rck M, Brodmann M, Cohnert T, Collet J-P, Czerny M. 2017 ESC Guidelines on the Diagnosis and Treatment of Peripheral Arterial Diseases, in collaboration with the European Society for Vascular Surgery (ESVS) Document covering atherosclerotic disease of extracranial carotid and vertebral, mesenteric, renal, upper and lower extremity arteries Endorsed by: the European Stroke Organization (ESO) The Task Force for the Diagnosis and Treatment of Peripheral Arterial Diseases of the European Society of Cardiology (ESC) and of the European Society for Vascular Surgery (ESVS). European Heart Journal, 2018, 39: 763–821. doi: 10.1093/eurheartj/ehx095.

3. Bezdenezhnikh A.V., Sumin A.N., Ivanov S.V., Barbarash O.L. Predictors of hospital complications after coronary artery bypass grafting: the role of multifocal atherosclerosis. Siberian Medical Journal, 2016, 31(1): 35-41.

4. Berns S.A., Zykova D.S., Zykov M.V., Shmidt E.A., Yukhno E.S., Nagirnyak O.A., Barbarash O.L. The Role of Multifocal Atherosclerosis in Realization of New Cardiovascular Complications during One Year after Non ST-Elevation Acute Coronary Syndrome. Kardiologiia, 2013, 8: 15-23.

5. Barbarash O.L., Usoltseva E.N., Kashtalap V.V., Kolomytseva I.S., Sizova I.N., Volykova M.A., Shibanova I.A. The role of subclinical inflammation in progression of multifocal atherosclerosis during one year after myocardial infarction. Kardiologiia, 2014, 8: 19-25.

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