O’tkir koronar sindrom ST segmentining ko’tarilishi bilan bo’lgan bemorlarda reperfuziya terapiyasining turli usullarini qiyosiy tahlili: sistematik adabiyotlar sharhi
Annotatsiya
Maqsad. O’tkir koronar sindrom ST segmenti ko’tarilishi bilan (O’KS-ST) bemorlar o’rtasida reperfuzion terapiya turli usullarining samaradorligini sistematik tahlil qilish va solishtirish, jumladan birlamchi teri orqali koronar aralashuv (bTOKA) va trombolitik terapiya (TLT), vaqt omili va COVID- 19 pandemiyasining ta’siri.
Materiallar va metodlar. O’KS-ST bilan bemorlarda bTOKA va TLT samaradorligini solishtiruvchi prospektiv randomizatsiyalashgan va kuzatuv tadqiqotlarining sistematik sharhi amalga oshirildi. Yirik xalqaro tadqiqotlar ma’lumotlari tahlil qilindi, jumladan DANAMI-2 (1572 bemor), PRAGUE- 2, STAT, GISSI, ISACS-STEMI COVID-19, shuningdek 23 ta tadqiqotning meta-tahlillari va chap qorincha global bo’ylama deformatsiyasini baholashning zamonaviy diagnostik usullari.
Natijalar. 23 ta randomizatsiyalashgan tadqiqotning meta-tahlili bTOKA ning TLT ga nisbatan statistik jihatdan ahamiyatli ustunliklarini ko’rsatdi: 30 kunlik o’lim darajasi 8,0% ga nisbatan 13,7% (p=0,0003), takroriy miokard infarkti 3,8% ga nisbatan 7,0% (p<0,05), qayta revaskulyarizatsiya ehtiyoji 5,7% ga nisbatan 25,2% (p<0,001). “Oltin soat” kontseptsiyasi tasdiqlandi. COVID-19 pandemiyasi O’KS-ST bilan bemorlarning murojat qilish darajasini 19-30,5% ga kamaytirdi va prognozni yomonlashtirdi.
Xulosa. bTOKA TLT ga nisbatan statistik jihatdan ahamiyatli ustunliklarni ko’rsatdi, biroq usulni tanlashda vaqt omili va texnik mavjudlikni hisobga olish zarur. Chap qorincha global bo’ylama deformatsiyasini baholashning zamonaviy usullari natijalarni bashorat qilish aniqligini oshiradi.
Mualliflar haqida
Adabiyotlar ro'yxati
Timmis A, Townsend N, Gale CP, et al. European Society of Cardiology: cardiovascular disease statistics 2019. Eur Heart J. 2020;41(1):12-85.
Virani SS, Alonso A, Aparicio HJ, et al. Heart Disease and Stroke Statistics-2021 Update: A Report From the American Heart Association. Circulation. 2021;143(8):e254-e743.
GBD 2019 Diseases and Injuries Collaborators. Global burden of 369 diseases and injuries in 204 countries and territories, 1990-2019: a systematic analysis for the Global Burden of Disease Study 2019. Lancet. 2020;396(10258):1204-1222.
Benjamin EJ, Muntner P, Alonso A, et al. Heart Disease and Stroke Statistics-2019 Update: A Report From the American Heart Association. Circulation. 2019;139(10):e56-e528.
Towfighi A, Zheng L, Ovbiagele B. Sex-specific trends in midlife coronary heart disease risk and prevalence. Arch Intern Med. 2009;169(19):1762-1766.
O’Gara PT, Kushner FG, Ascheim DD, et al. 2013 ACCF/AHA guideline for the management of ST- elevation myocardial infarction. Circulation. 2013;127(4):e362-e425.
Ibanez B, James S, Agewall S, et al. 2017 ESC Guidelines for the management of acute myocardial infarction in patients presenting with ST-segment elevation. Eur Heart J. 2018;39(2):119-177.
Neumann FJ, Sousa-Uva M, Ahlsson A, et al. 2018 ESC/EACTS Guidelines on myocardial revascularization. Eur Heart J. 2019;40(2):87-165.
Tillett WS, Garner RL. The fibrinolytic activity of hemolytic streptococci. J Exp Med. 1933;58(4):485-502.
Chazov EI, Matveeva LS, Mazaev AV, et al. Intracoronary administration of fibrinolysin in acute myocardial infarction. Ter Arkh. 1976;48(4):8-19.
Weinstein J. Treatment of myocardial infarction with intracoronary streptokinase: efficacy and safety data from 209 United States cases in the Hoechst-Roussel registry. Am Heart J. 1982;104(4):894-898.
Gruppo Italiano per lo Studio della Streptochinasi nell’Infarto Miocardico (GISSI). Effectiveness of intravenous thrombolytic treatment in acute myocardial infarction. Lancet. 1986;1(8478):397-402.
Granger CB, Califf RM, Topol EJ. Thrombolytic therapy for acute myocardial infarction. Drugs. 1992;44(3):293-325.
Grüntzig AR, Senning A, Siegenthaler WE. Nonoperative dilatation of coronary-artery stenosis: percutaneous transluminal coronary angioplasty. N Engl J Med. 1979;301(2):61-68.
Palmaz JC, Sibbitt RR, Reuter SR, et al. Expandable intraluminal graft: a preliminary study. Work in progress. Radiology. 1985;156(1):73-77.
Sigwart U, Puel J, Mirkovitch V, et al. Intravascular stents to prevent occlusion and restenosis after transluminal angioplasty. N Engl J Med. 1987;316(12):701-706.
Fischman DL, Leon MB, Baim DS, et al. A randomized comparison of coronary-stent placement and balloon angioplasty in the treatment of coronary artery disease. N Engl J Med. 1994;331(8):496-501.
Morice MC, Serruys PW, Sousa JE, et al. A randomized comparison of a sirolimus-eluting stent with a standard stent for coronary revascularization. N Engl J Med. 2002;346(23):1773-1780.
Andersen HR, Nielsen TT, Rasmussen K, et al. A comparison of coronary angioplasty with fibrinolytic therapy in acute myocardial infarction. N Engl J Med. 2003;349(8):733-742.
Widimský P, Budesínský T, Vorác D, et al. Long distance transport for primary angioplasty vs immediate thrombolysis in acute myocardial infarction. Final results of the randomized national multicentre trial– PRAGUE-2. Eur Heart J. 2003;24(1):94-104.
Le May MR, Labinaz M, Davies RF, et al. Stenting versus thrombolysis in acute myocardial infarction trial (STAT). J Am Coll Cardiol. 2001;37(4):985-991.
Keeley EC, Boura JA, Grines CL. Primary angioplasty versus intravenous thrombolytic therapy for acute myocardial infarction: a quantitative review of 23 randomised trials. Lancet. 2003;361(9351):13-20.
Zijlstra F, Hoorntje JC, de Boer MJ, et al. Long-term benefit of primary angioplasty as compared with thrombolytic therapy for acute myocardial infarction. N Engl J Med. 1999;341(19):1413-1419.
Reimer KA, Jennings RB. The "wavefront phenomenon" of myocardial ischemic cell death. II. Transmural progression of necrosis within the framework of ischemic bed size (myocardium at risk) and collateral flow. Lab Invest. 1979;40(6):633-644.
Boersma E, Maas AC, Deckers JW, Simoons ML. Early thrombolytic treatment in acute myocardial infarction: reappraisal of the golden hour. Lancet. 1996;348(9030):771-775.
Boersma E; Primary Coronary Angioplasty vs Thrombolysis Group. Does time matter? A pooled analysis of randomized clinical trials comparing primary percutaneous coronary intervention and in-hospital fibrinolysis in acute myocardial infarction patients. Eur Heart J. 2006;27(7):779-788.
Task Force on the management of ST-segment elevation acute myocardial infarction of the European Society of Cardiology (ESC). ESC Guidelines for the management of acute myocardial infarction in patients presenting with ST-segment elevation. Eur Heart J. 2012;33(20):2569-2619.
De Luca G, Verdoia M, Cercek M, et al. Impact of COVID-19 pandemic on mechanical reperfusion for patients with STEMI. J Am Coll Cardiol. 2020;76(20):2321-2330.
Rashid M, Curzen N, Kinnaird T, et al. Impact of coronavirus disease 2019 pandemic on the incidence and management of out-of-hospital cardiac arrest in patients presenting with acute myocardial infarction in England. J Am Heart Assoc. 2020;9(22):e018379.
Rodriguez-Leor O, Cid-Alvarez B, Ojeda S, et al. Impact of COVID-19 on ST-segment elevation myocardial infarction care. The Spanish experience. Rev Esp Cardiol (Engl Ed). 2020;73(12):994-1002.
Voigt JU, Pedrizzetti G, Lysyansky P, et al. Definitions for a common standard for 2D speckle tracking echocardiography: consensus document of the EACVI/ASE/Industry Task Force to standardize deformation imaging. Eur Heart J Cardiovasc Imaging. 2015;16(1):1-11.
Sugimoto T, Dulgheru R, Bernard A, et al. Echocardiographic reference ranges for normal left ventricular 2D strain: results from the EACVI NORRE study. Eur Heart J Cardiovasc Imaging. 2017;18(8):833-840.
Ersboll M, Valeur N, Mogensen UM, et al. Prediction of all-cause mortality and heart failure admissions from global left ventricular longitudinal strain in patients with acute myocardial infarction and preserved left ventricular ejection fraction. J Am Coll Cardiol. 2013;61(23):2365-2373.
Kalam K, Otahal P, Marwick TH. Prognostic implications of global LV dysfunction: a systematic review and meta-analysis of global longitudinal strain and ejection fraction. Heart. 2014;100(21):1673-1680.
Biering-Sorensen T, Biering-Sorensen SR, Olsen FJ, et al. Global longitudinal strain by echocardiography predicts long-term risk of cardiovascular morbidity and mortality in a low-risk general population: the Copenhagen City Heart Study. Circ Cardiovasc Imaging. 2017;10(3):e005521.
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