1. Direct Results Of Coronary Bypass Grafting Of Patients With The Reduced Myocardial Contractility In Terms Of Myocardial Perfusion Scintigraphy And Echocardiography

Authors

  • А. Mansurov Republican Specialized Scientific Practical Medical Center of Surgery named after academician V. Vakhidov, Tashkent, Uzbekistan
  • Kh. Khalikulov Republican Specialized Scientific Practical Medical Center of Surgery named after academician V. Vakhidov, Tashkent, Uzbekistan
  • U. Akhmedov Republican Specialized Scientific Practical Medical Center of Surgery named after academician V. Vakhidov, Tashkent, Uzbekistan
  • Kh. Mirzaev Republican Specialized Scientific Practical Medical Center of Surgery named after academician V. Vakhidov, Tashkent, Uzbekistan
  • S. Murtazaev Republican Specialized Scientific Practical Medical Center of Surgery named after academician V. Vakhidov, Tashkent, Uzbekistan
  • Sh. Aliev Republican Specialized Scientific Practical Medical Center of Surgery named after academician V. Vakhidov, Tashkent, Uzbekistan
  • D. Chernov Republican Specialized Scientific Practical Medical Center of Surgery named after academician V. Vakhidov, Tashkent, Uzbekistan
  • O. Ilkhomov Republican Specialized Scientific Practical Medical Center of Surgery named after academician V. Vakhidov, Tashkent, Uzbekistan

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Abstract

This article provides an analysis of the results of surgical treatment of patients with various forms of coronary artery disease, the study of the quality and reliability of myocardial revascularization, assessment of patency and functional viability of coronary grafts in the early postoperative period using echocardiogra-phy and myocardial perfusion scintigraphy. The retrospective material of our study is based on the results of surgical treatment of 130 patients with coronary artery disease who were operated on in the IHD department over the past year. All patients underwent examination according to a standard protocol: electrocardiography, 24-hour Holter monitoring, selective coronary ventriculography and shuntography, echocardiography, perfusion scintigraphy before and after surgery, drug stress test to assess myocardial perfusion and contractility and its differentiation (ischemia, scarring) with hypoperfusion.

Keywords

ischemic heart disease, coronary artery bypass grafting

References

  1. Bokeria L.A., Alekyan B.G., Colombo A., Buziashvili Yu.I. Manual “Interventional methods of treatment of coronary heart disease” RAMS 2002. 314-321
  2. Boykachev D.V., Kondrashov K.V., Stepin A.V. et al. Bilateral mammary coronary artery bypass grafting - evaluation of direct results // Chest. And the heart-vessel surg. — 2004. - №4; 14-18
  3. Belenkov Yu.N., Mareev Yu.V. Cardiovascular Con-tinuum // Heart Failure. — 2002. - №1; 7 — 11
  4. Sumarokov A.B., Rudenko B.A., Khodareva E.N., Yezhov M.V., Burgalova M.B., Veselova T.N. Occlu-sion of the main trunk of the left coronary artery. Car-diology 2001, №9; 94-96
  5. Shaenko O.Yu. A differentiated approach in choosing methods of revascularization in patients with isch-emic heart disease with lesion of left coronary artery trunk. Abstract. dis. appl. sci. deg. cand. med. sci-ences M 1995. р.20
  6. Shiryaev A.A., Lepilin M.G., Agapov A.A., Tarasova L.V., Vlasova E.E., Akchurin R.S. The results of long-term follow-up of patients with leleft coronary artery tion score index (WMSI) [19]. Rahimtoola claim that dysfunctional, ischemic myocardium may improve when perfusion is restored [20]. The improvement in WMSI can be explained by the revascularization procedure and suggests present viability, due to the existence of hibernating or stunned myocardium.
  7. American Heart Association Heart Disease and Stroke Statistics — 2005 Update Dallas, TX. Ameri-can Heart Association, 2004
  8. Unal, B., Critchley, J. A., & Capewell, S. (2005). Modelling the decline in coronary heart disease deaths in England and Wales, 1981-2000: comparing contributions from primary prevention and secondary prevention. BMJ (Clinical research ed.), 331(7517), 614. https://doi.org/10.1136/bmj.38561.633345.8F
  9. Gibbons RJ, Smith S, Antman E. American College of Cardiology/American Heart Association clinical practice guidelines/ Part I// Circulation 2003/ 107/ 2979 —2986
  10. Sharoni E, Song HK, Peterson RJ et al. Off pump cor-onary artery bypass surgery for significant left ven-tricular dysfunction: safety, feasibility, and trends in methodology over time-an early experience // Heart. Apr 2006; 92 (4): 499-502
  11. Berman DS, Hachamovitch R, Kiat H, et al. Incre-mental value of prognostic testing in patients with known or suspected ischemic heart disease: a ba-sis for optimal utilization of exercise technetium-99m sestamibi myocardial perfusion single-photon emission computed tomography. J Am CollCardi-ol1995;26:639–47
  12. Iskandrian, A.E. Myocardial perfusion imaging: Les-sons learned and work to be done. J. Nucl. Cardiol. 21, 4–16 (2014). https://doi.org/10.1007/s12350-013-9779-y
  13. Nael Aldweib, Kazuaki Negishi, Rory Hachamovitch, Wael A. Jaber, SinzianaSeicean, Thomas H. Mar-wick. Impact of Repeat Myocardial Revasculariza-tion on Outcome in Patients With Silent Ischemia After Previous Revascularization. J Am CollCar-diol2013;61:1616–23. ISSN 0735-1097. https://doi. org/10.1016/j.jacc.2013.01.043
  14. Lorusso R, La Canna G, Ceconi C, Borghetti V, To-taro P, Parrinello G, Coletti G, Minzioni G. Long-term results of coronary artery bypass grafting proce-dure in the presence of left ventricular dysfunction andhibernating myocardium. Eur J Cardiothorac-Surg2001;20:937–948
  15. Rahimtoola SH. The hibernating myocardium. Am Heart J 1989;117:211–221

Published

2021-11-15

Issue

No. 3 (2021)

Section

Статьи