METHOD FOR RAPID DETERMINATION OF INDICATIONS FOR PERFORMING INVASIVE CORONARY ANGIOGRAPHY IN PATIENTS WITH ACUTE CORONARY SYNDROME OF MODERATE AND LOW RISK OF DEVELOPING MYOCARDIAL INFARCTION WITHOUT LIFTING SEGMENT ST ON ELECTROCARDIOGRAM

摘要

FIELD: medicine.;SUBSTANCE: invention relates to medicine, namely to X-ray endovascular diagnostics and treatment, and is intended for determining indications for angiographic examination of patients hospitalized for emergency indications with chest pain and a preliminary diagnosis of "acute coronary syndrome". Disclosed is a method for rapid determination of indications for invasive coronary angiography in patients with acute coronary syndrome without ST segment elevation on an electrocardiogram and presence of moderate and low risk of developing infarction and death, including determining risk factors of cardiovascular diseases. Risk factors are hypercholesterolemia and dislipidemia; arterial hypertension; smoking; abdominal obesity; burdened heredity; cardiovascular disease factor; low physical activity; diabetes mellitus; insufficient consumption of fruits and vegetables; as well as male sex of patient and age for women of 55 and more years, for men of 45 and more years, in case of presence of patient's three and more of the above risk factors, invasive coronary angiography is performed urgently - up to 24 hours from admission, if more than three risk factors are detected, an additional examination is performed.;EFFECT: invention provides rapid determination among the whole set of patients of moderate and low risk of myocardial infarction and cardiac death of patients with an increased risk of significant coronary arterial contractions, which are indicated by angiographic examination in the short term.;1 cl, 1 tbl, 2 ex