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Myocardial revascularization in patients with stable coronary arterydisease: the stratification of perioperative and long-term risks

Authors: Sokolova N.Yu.1, Golukhova E.Z.2

Company: 1) Tver «Regional clinical hospital»; Peterburgskoe shosse, 105, Tver', Region Tver', 170036, Russian Federation;

2) A.N. Bakoulev Scientific Center for Cardiovascular Surgery of Ministry of Health of the Russian Federation; Rublevskoe shosse, 135, Moscow, 121552, Russian Federation

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DOI: https://doi.org/10.15275/kreatkard.2016.01.03

For citation: N.Yu. Sokolova, E.Z. Golukhova; Myocardial revascularization in patients with stable coronary artery disease: the stratification of perioperative and long-term risks; Kreativnaya Kardiologiya. 2016; 10 (1): 25-36 (in Russian)

Keywords: coronary artery disease coronary artery bypass grafting percutaneous coronary intervention risk stratification EuroSCORE II SYNTAX Score

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Abstract

The problem of treatment of coronary artery disease (CAD) remains one of the most urgent and priority problems of global and national health care. In recent decades, myocardial revascularization has been regarded as the most effective method for the treatment of CAD. What kind of treatment strategy is more preferable for a patient – drug therapy, coronary bypass grafting or percutaneous coronary intervention should be dependent on the ratio of «riskbenefit» of these types of treatment and evaluation of operative mortality risk. Numerous models have been developed for risk stratification, with a focus on anatomical complexity of the lesions or clinical risks. The article analyzes the current state of selecting the best treatment strategies and stratification of operational risks in patients with stable CAD. We have tried to analyze the updated recommendations of the European Society of Cardiology (ESC) and the European Association of Cardiothoracic Surgeons (EACTS) in 2014.

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Chief Editor

Leo A. Bockeria, MD, PhD, DSc, Professor, Academician of Russian Academy of Sciences, President of Bakoulev National Medical Research Center for Cardiovascular Surgery


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