Рефрактерная стенокардия: особенности диагностики и подходы к медикаментозной и немедикаментозной терапии

Авторы: И. С. Любченко *, Д. А. Андреев, А. А. Долецкий, А. В. Свет, А. Л. Сыркин

Организация:
Кафедра профилактической и неотложной кардиологии (зав. – профессор А. Л. Сыркин) ФППОВ Первого Московского государственного медицинского университета им. И. М. Сеченова

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Тип статьи: Актуальные вопросы диагностики и лечения ишемической болезни сердца

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Аннотация

Ишемическая болезнь сердца (ИБС) является актуальной медико-социальной проблемой в связи с ее большой ролью в инвалидизации и смертности трудоспособного населения, а также финансовыми затратами, связанными с лечением и реабилитацией пациентов [5]. Значительным остается число больных со стенокардией, у которых хирургическое вмешательство по разным причинам невыполнимо, а медикаментозная терапия недостаточно эффективна [19, 45]. В частности, по разным причинам невозможно выполнить опера- цию реваскуляризации миокарда у 6–9% больных с тяжелой стенокардией [15]. Таких пациентов относят к группе рефрактерной стенокардии (РС).

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