Email this article Surgical myocardial revascularization in patients with ischemic cardiomyopathy as the separate treatment mode
- Authors: Hubulava G.G.1, Paivin A.A.1, Kravchuk V.N.1, Lukianov N.G.1, Yurchenko D.L.1, Volkov A.M.1, Porembskaya I.A.1, Lubimov A.I.1
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Affiliations:
- Military Medical Academy
- Issue: Vol 7, No 1 (2007)
- Pages: 127-135
- Section: New technologies in diagnostics and treatment of atherosclerosis
- Published: 15.02.2007
- URL: https://journals.eco-vector.com/MAJ/article/view/692667
- ID: 692667
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Abstract
Our study shows the results of 64 patients with ischemic cardiomyopathy (ICMP) treatment. 50 of them underwent surgical myocardial revascularization, other 14 - received conservative therapy. To estimate the presence of viable («hibernated») myocardium 50 patients were examined by myocardial scintigraphy with 99Tc-MIBI and lodopent before surgery. Evaluation of the coronary artery bypass grafting nearest and remote results in patients with ICMP showed that presence of viable myocardium is more favorable for the myocardial contractile function improvement and cardiac size reduction. Results of surgical treatment showed a clear preference in comparison with conservative therapy in patients with the ICMP regarding duration and quality of life.
Thus, surgical myocardial revascularization in certain group of patients with the ICMP probably can be considered not just as a «bridge» to transplantation of the heart, but as an independent treatment mode.
About the authors
G. G. Hubulava
Military Medical Academy
Author for correspondence.
Email: shabanov@mail.rcom.ru
Russian Federation, Saint Petersburg
A. A. Paivin
Military Medical Academy
Email: shabanov@mail.rcom.ru
Russian Federation, Saint Petersburg
V. N. Kravchuk
Military Medical Academy
Email: shabanov@mail.rcom.ru
Russian Federation, Saint Petersburg
N. G. Lukianov
Military Medical Academy
Email: shabanov@mail.rcom.ru
Russian Federation, Saint Petersburg
D. L. Yurchenko
Military Medical Academy
Email: shabanov@mail.rcom.ru
Russian Federation, Saint Petersburg
A. M. Volkov
Military Medical Academy
Email: shabanov@mail.rcom.ru
Russian Federation, Saint Petersburg
I. A. Porembskaya
Military Medical Academy
Email: shabanov@mail.rcom.ru
Russian Federation, Saint Petersburg
A. I. Lubimov
Military Medical Academy
Email: shabanov@mail.rcom.ru
Russian Federation, Saint Petersburg
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СМИ зарегистрировано Федеральной службой по надзору в сфере связи, информационных технологий и массовых коммуникаций (Роскомнадзор).