Статья
ДОКАЗАТЕЛЬНАЯ БАЗА ПРИОРИТЕТНОЙ РОЛИ ПЕРВИЧНОГО ЧРЕСКОЖНОГО КОРОНАРНОГО ВМЕШАТЕЛЬСТВА В РЕВАСКУЛЯРИЗАЦИИ БОЛЬНЫХ ИНФАРКТОМ МИОКАРДА С ПОДЪЕМОМ СЕГМЕНТА ST
Первичное чрескожное коронарное вмешательство (ЧКВ) обеспечивает лучшие результаты лечения инфаркта миокарда с подъемом сегмента ST (ИМпST). Чем раньше выполняется вмешательство, тем выше выживаемость больных. Тромболитическая терапия может быть эффективнее катетерной реперфузии при задержке выполнения первичного ЧКВ. Допустимый интервал «времени задержки, обусловленный первичным ЧКВ», позволяющий сохранять преимущество эндоваскулярного подхода, находится в пределах 60–120 мин, что в большинстве случаев является выполнимым. При прогнозируемом времени от первого медицинского контакта до раздувания баллона более 90–120 мин необходимо регулировать логистическую схему доставки больных в ЧКВ-центры и увеличить количество таких центров, работающих в режиме круглосуточно.
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