دورية أكاديمية
Discrepancy between the European clinical guidelines and myocardial revascularization in patients with stable coronary artery disease in Russia.
| العنوان: | Discrepancy between the European clinical guidelines and myocardial revascularization in patients with stable coronary artery disease in Russia. |
|---|---|
| المؤلفون: | Kiselev AR; Department of New Cardiological Informational Technologies, Research Institute of Cardiology, Saratov State Medical University n.a. V.I. Razumovsky, Saratov, Russia., Korotin AS; Department of New Cardiological Informational Technologies, Research Institute of Cardiology, Saratov State Medical University n.a. V.I. Razumovsky, Saratov, Russia., Posnenkova OM; Department of New Cardiological Informational Technologies, Research Institute of Cardiology, Saratov State Medical University n.a. V.I. Razumovsky, Saratov, Russia., Popova YV; Department of New Cardiological Informational Technologies, Research Institute of Cardiology, Saratov State Medical University n.a. V.I. Razumovsky, Saratov, Russia., Prokhorov MD; Laboratory of Nonlinear Dynamics Modelling, Saratov Branch of the Institute of Radio Engineering and Electronics of Russian Academy of Sciences, Saratov, Russia., Gridnev VI; Department of New Cardiological Informational Technologies, Research Institute of Cardiology, Saratov State Medical University n.a. V.I. Razumovsky, Saratov, Russia. |
| المصدر: | International journal for quality in health care : journal of the International Society for Quality in Health Care [Int J Qual Health Care] 2019 May 01; Vol. 31 (4), pp. 269-275. |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Oxford University Press Country of Publication: England NLM ID: 9434628 Publication Model: Print Cited Medium: Internet ISSN: 1464-3677 (Electronic) Linking ISSN: 13534505 NLM ISO Abbreviation: Int J Qual Health Care Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: Oxford : Oxford University Press Original Publication: Kidlington, Oxford, UK ; Tarrytown, NY : Pergamon, c1994- |
| مواضيع طبية MeSH: | Coronary Artery Disease/*surgery , Guideline Adherence/*statistics & numerical data , Myocardial Revascularization/*statistics & numerical data, Angina Pectoris ; Coronary Artery Disease/diagnosis ; Coronary Stenosis ; Female ; Heart Failure ; Humans ; Male ; Middle Aged ; Peripheral Arterial Disease ; Retrospective Studies ; Russia |
| مستخلص: | Objective: In European Society of Cardiology/European Association for Cardio-Thoracic Surgery (ESC/EACTS) guidelines, six indications have been proposed for making a decision on myocardial revascularization in patients with stable coronary artery disease (CAD). Our aim was to study a discrepancy between the actual clinical situation and ESC/EACTS indications on performing the revascularization in patients with CAD in Russia. Design and Setting: We used retrospective clinical data on patients with stable CAD enrolled in the 2012-2015 Russian Registry of Hypertension, Coronary Artery Disease, and Chronic Heart Failure. Participants: A total of 1522 patients with CAD (aged 53.0 ± 8.5 years, 76.2% male) were used for analysis. Interventions: All patients were divided into two groups: 591 patients with performed myocardial revascularization (named as R-CAD) and 931 patients refused from revascularization (named as NR-CAD). Factors associated with revascularization performance were identified by discriminant function analysis. Main Outcome Measures: ESC/EACTS indications for revascularization were assessed. Results: A total of 1196 patients with CAD had any ESC/EACTS indication for revascularization, but only 40.2% of them had performed invasive coronary intervention. Myocardial revascularization was appropriate in 81.4% of R-CAD patients and 76.8% of NR-CAD patients. The main factor of revascularization performance was any stenosis >50% and grades III-IV of stable angina. With non-performed revascularization, the following factors were associated: limiting angina or angina equivalent, unresponsive to medical therapy, atherosclerotic peripheral arterial disease and increasing the New York Heart Association class of chronic heart failure. Most ESC/EACTS indications had little effect on decision-making on revascularization. Conclusion: There is a discrepancy between the actual clinical situation and ESC/EACTS guidelines on myocardial revascularization in patients with stable CAD in Russia. (© The Author(s) 2018. Published by Oxford University Press in association with the International Society for Quality in Health Care. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.) |
| فهرسة مساهمة: | Keywords: ESC/EACTS guidelines; clinical indications; coronary artery disease; myocardial revascularization |
| تواريخ الأحداث: | Date Created: 20180621 Date Completed: 20191022 Latest Revision: 20191022 |
| رمز التحديث: | 20240628 |
| DOI: | 10.1093/intqhc/mzy140 |
| PMID: | 29924371 |
| قاعدة البيانات: | MEDLINE |
Full Text Finder | تدمد: | 1464-3677 |
|---|---|
| DOI: | 10.1093/intqhc/mzy140 |