The case of dissection of a coronary artery clinically simulated as the chronic pericardial effusion
- Authors: Tsygvintsev A.A1, Lishchuk A.N2, Shakhnovich P.G3
-
Affiliations:
- the 3rd A.A.Vishnevsky Central Military Clinical Hospital of the Ministry of Defense of the Russian Federation
- The 3rd A.A.Vishnevsky Central Military Clinical Hospital of the Ministry of Defense of the Russian Federation
- The N.N.Burdenko Main Military Clinical Hospital of the Ministry of Defense of the Russian Federation
- Issue: Vol 342, No 8 (2021)
- Pages: 24-27
- Section: Articles
- URL: https://journals.eco-vector.com/0026-9050/article/view/82645
- DOI: https://doi.org/10.17816/RMMJ82645
- ID: 82645
Cite item
Abstract
In the program for combating cardiovascular diseases in the Armed Forces of the Russian Federation, an important place is given to the prevention of sudden cardiac death. At the same time, the group of maximum risk includes military personnel with combined coronary and non - coronary pathology, in which there are objective difficulties in diagnosis, conservative treatment, and the provision of high - tech medical care. A clinical case of subtotal atherosclerotic heart disease with dissection of the coronary artery proceeding under the mask of chronic exudative pericarditis against the background of acquired heart disease is presented. The tactics of managing such patients are analyzed from the standpoint of evidence - based medicine.
Full Text
![Restricted Access](https://journals.eco-vector.com/lib/pkp/templates/images/icons/text_lock.png)
About the authors
A. A Tsygvintsev
the 3rd A.A.Vishnevsky Central Military Clinical Hospital of the Ministry of Defense of the Russian Federation
Email: tsygvintsev1985@gmail.com
Krasnoznamensk, Moscow Region, Russia
A. N Lishchuk
The 3rd A.A.Vishnevsky Central Military Clinical Hospital of the Ministry of Defense of the Russian FederationKrasnogorsk, Moscow Region, Russia
P. G Shakhnovich
The N.N.Burdenko Main Military Clinical Hospital of the Ministry of Defense of the Russian Federation
Email: p_shakhnovich@mail.ru
Moscow, Russia
References
- Европейское руководство по неотложной кардиологии / Под ред. М.Тубаро, П.Вранкс. - М.: ГЭОТАР-Медиа, 2017. - 960 с.
- Adler Y., Charron P., Imazio M. et al. ESC Guidelines for the diagnosis and management of pericardial diseases: The Task Force for the Diagnosis and Management of Pericardial Diseases of the European Society of Cardiology (ESC) Endorsed by: The European Association for Cardio-Thoracic Surgery (EACTS) // Eur. Heart. J. - 2015. - Vol. 36, N 42. - P. 2921-2964.
- Deftereos S., Giannopoulos G., Panagopoulou V. et al. Anti-inflammatory Treatment With Colchicine in Stable Chronic Heart Failure: A Prospective, Randomized Study // JACC Heart Fail. - 2014. - Vol. 2, N 2. - P. 131-137.
- Hayes S., Kim E., Saw J. et al. Spontaneous coronary artery dissection: current state of the science: a scientific statement from the American Heart Association // Circulation. - 2018. - Vol. 137, N 19. - P. 523-557.
- Liebenberg J., Dold C., Olivier L. A prospective investigation into the effect of colchicine on tuberculous pericarditis // Cardiovasc. J. Afr. - 2016. - Vol. 27, N 6. - P. 350-355.
- Rogowski S., Maeder M., Weilenmann D. et al. Spontaneous coronary artery dissection: angiographic follow-up and longterm clinical outcome in a predominantly medically treated population // Catheter Cardiovasc. Interv. - 2017. - N 89. - P. 59-68.
Supplementary files
![](/img/style/loading.gif)