FEATURES OF THE CORONARY ARTERIES ANATOMICAL LESIONS IN NSTEMI PATIENTS DEPENDING ON THE ASSOCIATION WITH THE INITIAL CLINICAL CHARACTERISTICS.

Abstract

The aim of the study is to determine the nature of the anatomical lesion of the coronary arteries in NSTEMI depending on different clinical characteristics. We examined 156 patients with NSTEMI aged 38 to 80 years, who were urgently hospitalized in the Vinnytsya Regional Clinical Center of Cardiovascular Pathology. The results of the study showed no gender differences in coronary artery disease. However, an association has been established with a number of clinical and instrumental parameters, including Troponin I levels, ECG changes such as ST depression, smoking status, age less than 62 years, concomitant type II diabetes, and a GRACE score of ≤ 126. Conclusions. 1. There were no significant gender differences in the nature of the anatomical lesion of the coronary arteries in the general cohort of NSTEMI patients aged 38 to 80 years. 2. In patients with NSTEMI 2- or 3-vascular lesions of the coronary arteries should be expected in the case of registration of significant depression of the ST segment on the ECG (≥ 3 mm) and relatively high levels of troponin I in plasma (≥ 6 ng/ ml) at baseline, as well as in if there is such a risk factor as smoking and its history for more than 26 years. 3. Relatively intact coronary arteries should be expected in younger patients (≤ 62 years), in patients with type II diabetes mellitus, as well as in the case of relatively low plasma troponin I levels (≤ 6 ng/ml) and low score on the GRACE score stratification (≤ 126 points) at the initial examination of patients.