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METHOD FOR STENT RESTENOSIS PREDICTION IN PATIENTS WITH ISCHEMIC HEART DISEASE 6 MONTHS AFTER CORONARY STENTING

机译:冠状动脉狭窄术后6个月缺血性疾病患者的再狭窄预测

摘要

FIELD: medicine.;SUBSTANCE: invention refers to medicine, namely to cardiology, and can be used for prediction restenosis stent in patients with ischemic heart disease 6 months after coronary stenting (CS). For this purpose, patients suffering ischemic heart disease on the first day of admission to hospital, before the coronary stenting and 6 months later, blood sampling is performed from the ulnar vein, method of enzyme immunoassay is used to determine the content α-defensins in blood plasma and determining the content ratio α-defenzines 6 months after operation/maintenance α-defensins before operation. That is followed by calculating the prognostic coefficient K by the formula K=exp(-5.9+(5.3)*x)/(1+exp(-5.9+(5.3)*x)), where K is the prognostic coefficient reflecting probability of development restenosis coronary stent, x is ratio of concentration change α-difensin 1-3 in blood plasma, calculated by dividing X2/X1: X1 is concentration α-difensin 1-3 in blood plasma before stenting in pg/ml, X2 is concentration α-difensin 1-3 in blood plasma 6 months after stenting in pg/ml. At value K≥0.357 considered risk of developing restenosis coronary stent 6 months after coronary stenting high if the value K0.357, then the risk of developing restenosis coronary stent low.;EFFECT: method enables calculating risk of developing restenosis coronary stent and timely clinically justified decision on further management of the patient.;1 cl, 1 dwg, 2 ex
机译:技术领域本发明涉及医学,即心脏病学,并且可用于预测在冠状动脉支架置入术(CS)后6个月的缺血性心脏病患者中的再狭窄支架。为此,在住院的第一天,患有缺血性心脏病的患者,在冠状动脉支架置入前和6个月后,从尺静脉进行采血,采用酶免疫法测定血浆中α-防御素的含量。血浆和确定术后6个月的α-防御素含量/维持术前α-防御素的含量。然后通过公式K = exp(-5.9+(5.3)* x)/(1 + exp(-5.9+(5.3)* x))计算预后系数K,其中K是反映预后的概率发育性再狭窄冠状动脉支架的关系,x是血浆中浓度变化的α-联苯胺素1-3的比率,通过除以X2 / X1来计算:X1是支架置入前血浆中的血浆α-联苯胺素1-3的浓度,单位为pg / ml,X2为支架置入后6个月血浆中α-二联素1-3的浓度,以pg / ml为单位。在K≥0.357时,如果K <0.357,则认为在冠状动脉支架置入术后6个月内发生再狭窄冠状动脉支架的风险较高。对患者进行进一步治疗的合理决定。; 1 cl,1 dwg,2 ex

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