FIELD: medicine; cardiology.
SUBSTANCE: echocardiography is conducted in a patient with acute coronary syndrome, while a finite diastolic volume (FDV1) is measured. Coronary angiography and necessary transcutaneous coronary intervention (hereinafter – TCI) are conducted in the patient, time from the beginning of symptoms to transcutaneous coronary intervention in hours (pain-TCI time in hours) is found out from the history of disease development. When conducting coronary angiography, stenosis in the proximal part of the anterior interventricular artery (prox AIVA) is measured. TCI conductance volume is determined. When stenting coronary arteries, in which hemodynamically significant stenoses are detected, in the result of the procedure, a degree of achieved blood flow is assessed by TIMI scale. A level of MB fraction of creatine phosphokinase (CPK-MB) is assessed. According to electrocardiography, when coming to a hospital, in which transcutaneous coronary intervention is conducted, the presence or absence of a pathological wave Q is detected. Then, according to obtained data, an ejection fraction (EF) is calculated, based on which prediction is performed.
EFFECT: method allows for short-term prediction of an ejection fraction indicator for a two-year period and making a decision on further tactics of patient management, and selection of adequate drug therapy.
1 cl, 2 ex
