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.
