References

urmj

Уральский медицинский журнал

Ural Medical Journal

2949-4389

Ural State Medical University

10.25694/URMJ.2019.02.24

urmj-483

Research Article

ЭНДОКРИНОЛОГИЯ

Стратегии реперфузии миокарда у пациентов с Сахарным диабетом 2 типа

Strategies of reperfusion in patients with type 2 diabetes mellitus

Беляева

Н. Г.

Beliaeva

N. G.

noemail@neicon.ru

ФГБОУ ВО "ПИМУ" Минздрава РоссииRussian Federation

2019

14042021

023541

2021

Беляева Н.Г.

Beliaeva N.G.

Данная работа распространяется под лицензией Creative Commons Attribution 4.0.

This work is licensed under a Creative Commons Attribution 4.0 License.

https://www.umjusmu.ru/jour/article/view/483

Реваскуляризация имеет важное значение в лечении пациентов с острым коронарным синдромом в растущей популяции больных с СД 2 типа. Совокупность неблагоприятных патофизиологических и анатомических особенностей атеросклеротического поражения КА у пациентов с СД 2 типа обуславливает худший прогноз и снижает ответ на реваскуляризацию миокарда. Возможность модифицировать эти факторы остается чрезвычайно трудной задачей. Наиболее перспективными подходами является выбор оптимального метода реваскуляризации, а также своевременная диагностика СД 2 типа, определение степени его компенсации, качественная коррекция выявленных нарушений углеводного обмена и определение алгоритмов дальнейшего ведения пациентов.

Revascularisation plays an important role in treatment of acute coronary syndrome for increased population of type 2 diabetic patients. The set of anatomical and pathophysiological peculiarities of atherosclerotic injury of coronary arteries in patients with type 2 diabetes causes the worst prognosis and response after revascularization. Modification of this factors is really difficult. The most promising approaches are the choice of optimal method of revascularization, timely diagnostics of diabetes, determination of the degree of compensation, correction of glycemic changers, and the definition of further algorithm of treatment.

Сахарный диабет 2 типаострый коронарный синдромаортокоронарное шунтированиетранслюминальная баллонная коронарная ангиопластикапрогнозType 2 diabetes mellitusacute coronary syndromecoronary artery bypass surgeryprimary angioplastymortalityprognosis

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The authors declare that there are no conflicts of interest present.