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Please use this identifier to cite or link to this item: http://hdl.handle.net/20.500.12710/1219
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dc.contributor.authorYepanchintseva, Оlga
dc.contributor.authorIvanyuk, Natalia
dc.contributor.authorBorkhalenko, Yulia
dc.contributor.authorZharinov, Оleg
dc.contributor.authorТоdurov, Borys
dc.date.accessioned2019-04-16T12:34:23Z
dc.date.available2019-04-16T12:34:23Z
dc.date.issued2018
dc.identifier.citationYEPANCHINTSEVA, Оlga, IVANYUK, Natalia, BORKHALENKO, Yulia, ZHARINOV, Оleg, ТОDUROV, Borys. Coronary revascularization in patients with ischemic left ventricular dysfunction. In: The Moldovan Medical Journal. 2018, vol. 61, no 3, pp. 63-67. ISSN 2537-6373.en_US
dc.identifier.issn2537-6373
dc.identifier.issn2537-6381
dc.identifier.urihttp://repository.usmf.md/handle/20.500.12710/1219
dc.identifier.urihttps://doi.org/10.5281/zenodo.1456894
dc.identifier.urihttp://moldmedjournal.md/wp-content/uploads/2019/01/moldmedjournal-2018-61-3-full-issue.pdf
dc.descriptionHeart Institute, Shupyk National Medical Academy of Postgraduate Education, Kiev, Ukraineen_US
dc.description.abstractBackground: Coronary artery disease (CAD) dominates in the contemporary world among the causes of left ventricular dysfunction (LVD). Prognosis of survival and the course of heart failure (HF) are worse in patients with CAD than in many kinds of non-ischemic cardiomyopathy. Development of cardiac surgery technologies and formation of the relevant evidence base have significantly expanded the role of revascularization in patients with CAD and reduced left ventricular ejection fraction (LVEF). The possibility and expediency of coronary artery bypass grafting (CABG) for improving left ventricular ejection fraction (LVEF), clinical course of HF and survival are evidence-based. Stenting is less effective than coronary artery bypass grafting (CABG) regarding the influence on primary endpoints but improves the quality of life of patients with CAD and ischemic LVD. Conclusions: In patients with ischemic LVD, surgical revascularization can ensure an improvement in the pumping function of the heart, provided there is a sufficient amount of viable myocardium. From the standpoint of evidence-based medicine, the effectiveness of CABG surgery in patients with multivessel lesion of the coronary bed and LVD has been proven for correction LVEF, improvement of the course of the disease and prediction of survival compared with the optimal drug therapy. Percutaneous intervention is inferior to surgical revascularization in terms of its effect on endpoints, but it can make an improvement in the quality of life of patients with ischemic LVD. Evaluation of myocardial viability may be of additional importance for the decision on the feasibility of CABG in the presence of multivessel coronary artery disease combined with a sharp decrease in LVEF.en_US
dc.language.isoenen_US
dc.publisherThe Scientific Medical Association of the Republic of Moldovaen_US
dc.relation.ispartofThe Moldovan Medical Journal
dc.subjectcoronary artery diseaseen_US
dc.subjectreduced left ventricular ejection fractionen_US
dc.subjectmyocardial revascularizationen_US
dc.subject.ddcUDC: 616.127-005.4+616.132.2]-089.819
dc.subject.meshCoronary Artery Diseaseen_US
dc.subject.meshCoronary Artery Bypassen_US
dc.subject.meshVentricular Dysfunction, Left--therapyen_US
dc.subject.meshHeart Failure--therapyen_US
dc.subject.meshVentriculography, First-Passen_US
dc.subject.meshMyocardial Revascularizationen_US
dc.titleCoronary revascularization in patients with ischemic left ventricular dysfunctionen_US
dc.typeArticleen_US
Appears in Collections:The Moldovan Medical Journal, Vol. 61, No 3, October 2018

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