Оценка эффективности коронарных вмешательств и тромболизиса по показателям деформации миокарда у пациентов с ОКС с подъемом сегмента ST

Kirish. ST-segment ko‘tarilishi bilan kechuvchi miokard infarkti (STEMI) bo‘lgan bemorlarni davolashda reperfuziya terapiyalari, jumladan, birlamchi perkutan koronar intervensiya (PKI), trombolizis va qutqaruvchi PKI muhim ahamiyatga ega. Miokard straini yordamida ushbu usullarning samaradorligini baholash miokard tiklanishining asosiy jihatlarini o‘rganishda qimmatli ma’lumot beradi.

Materiallar va usullar. Ushbu tadqiqotda 200 nafar STEMI bo‘lgan bemorga reperfuziya terapiyasi birlamchi trombolizis, birlamchi PKI yoki qutqaruvchi PKI yordamida amalga oshirildi. Miokard straini ekokardiografiya orqali uch bosqichda o‘lchandi: reperfuziyadan oldin, darhol keyin va protseduradan olti oy o‘tib.

Natijalar. Birlamchi PKI o‘tkazilgan bemorlarda miokard strainining tiklanishi trombolizis yoki qutqaruvchi PKI bilan davolangan bemorlarga qaraganda sezilarli darajada yaxshiroq ekanligi kuzatildi. Olti oylik kuzatuv natijalari birlamchi PKI o‘tkazilgan bemorlarda miokard qisqarish qobiliyatining barqaror ravishda yaxshilanganini tasdiqladi.

Xulosa. Birlamchi PKI STEMI bo‘lgan bemorlarda miokard funksiyasini tiklash uchun eng samarali reperfuziya usuli hisoblanadi. Bu miokard strainining sezilarli darajada yaxshilanishi bilan tasdiqlanadi. Erta aniqlash va to‘g‘ri reperfuziya strategiyalarini qo‘llash bemorlarning salomatligini yaxshilashda muhim ahamiyatga ega.

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Adabiyotlar ro'yxati

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