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Semagin A.A.

Federal Center for Cardiovascular Surgery

Shaldybin P.D.

South-Ural State Medical University

Fokin A.A.

South-Ural State Medical University

Direct myocardial revascularization after 6, 12 and 24 hours of acute coronary syndrome

Authors:

Semagin A.A., Shaldybin P.D., Fokin A.A.

More about the authors

Journal: Pirogov Russian Journal of Surgery. 2021;(10): 75‑80

DOI: 10.17116/hirurgia202110175

Read: 2003 times

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Table of contents

DIRECT MYOCARDIAL REVASCULARIZATION AFTER 6, 12 AND 24 HOURS OF ACUTE CORONARY SYNDROME
DIRECT MYOCARDIAL REVASCULARIZATION AFTER 6, 12 AND 24 HOURS OF ACUTE CORONARY SYNDROME

To cite this article:

Semagin AA, Shaldybin PD, Fokin AA. Direct myocardial revascularization after 6, 12 and 24 hours of acute coronary syndrome. Pirogov Russian Journal of Surgery. 2021;(10):75‑80. (In Russ.)
https://doi.org/10.17116/hirurgia202110175

Подписка 2026 Хирургия. Журнал им. Н.И. Пирогова (Pirogov Russian Journal of Surgery)
МСФ на ЯМ
Использование инфографики авторами научных работ
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Abstract:

OBJECTIVE

To evaluate the results of direct myocardial revascularization within 72 hours after manifestation of acute coronary syndrome.

MATERIAL AND METHODS

A retrospective study included 48 (0.47%) out of 10 193 patients with coronary artery disease who underwent coronary artery bypass grafting for the period 2011—2019. Study patients underwent urgent direct myocardial revascularization. SYNTAX Score >22 points was observed in all cases. All patients were divided into 3 groups depending on timing of surgery: 26 patients — within 6 hours after admission, 15 patients — within 6 — 24 hours, 7 patients — within 24—72 hours.

RESULTS

Level of myocardial damage markers was similar after 1 and 2 days (p>0.05). In the 1st group, 1 (3.84%) patient died in hospital, 5 (19.2%) patients — within 1 year after surgery. In the 2nd group, these values were 1 (6.6%) and 0, respectively. There was no mortality in the 3rd group (p>0.05). Overall 5-year survival was 100%.

CONCLUSION

Early active open revascularization is advisable in patients with ACS and clear indications for surgery.

Keywords:

direct myocardial revascularization
acute coronary syndrome
ischemic heart disease

Authors:

Semagin A.A.

Federal Center for Cardiovascular Surgery

Shaldybin P.D.

South-Ural State Medical University

Fokin A.A.

South-Ural State Medical University

Received:

29.11.2020

Accepted:

15.12.2020

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References:

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  2. Collet J-P, Thiele H, Barbato E, Arthélémy O, Bauersachs J, Bhatt DL, et al. 2020 ESC Guidelines for the management of acute coronary syndromes in patients presenting without persistent ST-segment elevation: The Task Force for the management of acute coronary syndromes in patients presenting without persistent ST-segment elevation of the European Society of Cardiology (ESC).
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