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    Kyselov S.M.

    RISK OF UNFAVORABLE COURSE OF ACUTE Q-WAVE MYOCARDIAL INFARCTION UPON THE IMPACT OF ANTICOAGULATION THERAPY


    About the author: Kyselov S.M.
    Heading CLINICAL MEDICINE
    Type of article Scentific article
    Annotation The study was aimed at determining the risk of hospital and annual mortality, acute aneurism and thrombus formation inside the left ventricle in patients with Q-wave myocardial infarction upon the impact of unfractionated and low molecular weight heparin after thrombolytic therapy. It was found that survival during the hospital period was significantly higher in the group where unfractionated heparin was used, compared to patients who received fondaparinux. There were no significant differences in the annual survival of patients who received fondaparinux, enoxaparin, and unfractionated heparin. Thus, all three approaches were equally effective for the long-term prognosis of patients with Q-wave myocardial infarction. When comparing the relative risk of aneurysm formation and aneurysm with a left ventricular thrombus in groups of patients with Q-wave myocardial infarction and different anticoagulation therapy, there were no significant differences. Thus, aneurysm of the left ventricle and aneurysm with a left ventricular thrombus occurred with the same frequency in patients with Q-wave myocardial infarction, who used low-molecular or unfractionated heparin. The usage of unfractionated heparin in patients with acute Q-wave myocardial infarction after thrombolytic therapy significantly reduces the risk of hospital mortality by 1.46 times compared with low-molecular-weight heparin. As for annual mortality, the risk of acute aneurysm and aneurysm with thrombus formation, the unfractionated and low-molecular-weight heparin were equally effective.
    Tags acute Q-myocardial infarction, unfractionated heparin, low molecular heparin, thrombolytic therapy
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    Publication of the article «World of Medicine and Biology» №3(65), 2018 year, 074-077 pages, index UDK 616.127-005.8-085.273-037-07
    DOI 10.26724/2079-8334-2018-3-65-74-77