METHOD OF SELECTION STRATEGY revascularization in patients with myocardial infarction with ST-segment elevation in multivessel coronary disease

摘要

A method of selecting revascularization strategy in patients with myocardial infarction with elevation of ST segment with multivessel coronary disease, including an analysis of personalized clinical and angiographic risk factors and determining the likely prognosis for the realization of one of the surgical intervention strategies, characterized in that the patient is calculated probability of adverse outcome P ( Y) in the implementation as a strategy of multivessel stenting in primary PCI - P (Υ), and for a phased revascularization strategy yarizatsii - P (Υ), thus believe that the outcome of multivessel stenting within the primary PCI unfavorable if P (Υ) more than 0.08 and the probability of an adverse outcome phase revascularization strategy at P values ​​(Y) more than 0.135; Further considering the thresholds by comparing the obtained values ​​P (Y) and P (Y), selects tactic surgery in favor of strategies with the lowest probability of an adverse outcome.