ISSN 2305-3127 (Print)   
ISSN 2664-3790 (Online)

Original research

The value of revascularization and adherence to therapy in the development of cardiovascular complications in long-term monitoring of patients with myocardial infarction of the right ventricle on the background of the Q-myocardial infarction of the left ventricular posterior wall

V.Y. Tseluyko 1, T.A. Lozova 2, V.P. Zheleznyy 2, O.S. Sasyuk 2

1 Kharkiv Medical Academy of Postgraduate Education, Ukraine
2 Sumy City Clinical Hospital N 1, Ukraine
     

The aim – to evaluate the role of deferred revascularization and adherence to drug therapy as factors affecting long-term prognosis of patients with myocardial infarction (MI) of the right ventricle (RV) on the background of the Q-myocardial infarction of the left ventricle (LV) posterior wall (PW).

Materials and methods. The study involved 155 patients with MI of the RV due the Q-MI of the PWLV, age 64.11 ± 0.78 years. The revascularization (PCI, CABG) was performed within one year after MI. Adherence to treatment was assessed after 6 and 30 months. The combined endpoints included: unstable angina (UA), Re-MI, stroke and cardio-vascular (CV) death. Follow-up was 30.6 ± 4.5 month.

Results. The 1st group included 68 (43.9 %) patients who underwent surgical treatment, 87 (56.1 %) patients under conservative strategy composed the 2nd group. The frequency of combined CV-point was significantly lower in the 1st group (ð = 0.00001). Revascularization after RV MI was accompanied by significant decrease of frequency of Re-MI (ð = 0.05), stroke (ð = 0.0413) and UA (ð = 0.00001) during 30 months follow-up. Reducing risk of CV events in the 1st group was associated with higher adherence to ACE inhibitors / ARA (86.7–79.4 %), statins (97.1–64.7 %) and clopidogrel (98.5–79.4 %) at 6 months and at the end of the observation period, compared to patients with conservative strategy (p < 0.05).

Conclusions. Higher adherence to drug therapy in the surgical treatment group is associated with significantly lower number of cardiovascular events during 30 days after right ventricular myocardial infarction.

Key words: revascularization, adherence to therapy, myocardial infarction of the right ventricle, cardiovascular complications, predictors.

 

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© "Cardiac Surgery and Interventional Cardiology" Ukrainian scientific and practical peer-reviewed journal, 2023

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  • SELECT `c`.`id`,`c`.`asset_id`,`c`.`access`,`c`.`alias`,`c`.`checked_out`,`c`.`checked_out_time`,`c`.`created_time`,`c`.`created_user_id`,`c`.`description`,`c`.`extension`,`c`.`hits`,`c`.`language`,`c`.`level`,`c`.`lft`,`c`.`metadata`,`c`.`metadesc`,`c`.`metakey`,`c`.`modified_time`,`c`.`note`,`c`.`params`,`c`.`parent_id`,`c`.`path`,`c`.`published`,`c`.`rgt`,`c`.`title`,`c`.`modified_user_id`,`c`.`version`, CASE WHEN CHAR_LENGTH(`c`.`alias`) != 0 THEN CONCAT_WS(':', `c`.`id`, `c`.`alias`) ELSE `c`.`id` END as `slug` FROM `l8uf4_categories` AS `s` INNER JOIN `l8uf4_categories` AS `c` ON (`s`.`lft` < `c`.`lft` AND `c`.`lft` < `s`.`rgt` AND `c`.`language` IN (:preparedArray2,:preparedArray3)) OR (`c`.`lft` <= `s`.`lft` AND `s`.`rgt` <= `c`.`rgt`) WHERE (`c`.`extension` = :extension OR `c`.`extension` = 'system') AND `c`.`access` IN (:preparedArray1) AND `c`.`published` = 1 AND `s`.`id` = :id ORDER BY `c`.`lft`922μs3.94KBParams/libraries/src/Categories/Categories.php:375Copy
  • SELECT `m`.`id`,`m`.`title`,`m`.`module`,`m`.`position`,`m`.`content`,`m`.`showtitle`,`m`.`params`,`mm`.`menuid` FROM `l8uf4_modules` AS `m` LEFT JOIN `l8uf4_modules_menu` AS `mm` ON `mm`.`moduleid` = `m`.`id` LEFT JOIN `l8uf4_extensions` AS `e` ON `e`.`element` = `m`.`module` AND `e`.`client_id` = `m`.`client_id` WHERE ( ( (`m`.`published` = 1 AND `e`.`enabled` = 1 AND `m`.`client_id` = :clientId AND `m`.`access` IN (:preparedArray1)) AND (`m`.`publish_up` IS NULL OR `m`.`publish_up` <= :publishUp)) AND (`m`.`publish_down` IS NULL OR `m`.`publish_down` >= :publishDown)) AND (`mm`.`menuid` = :itemId OR `mm`.`menuid` <= 0) AND `m`.`language` IN (:preparedArray2,:preparedArray3) ORDER BY `m`.`position`,`m`.`ordering`950μs2.22KBParams/libraries/src/Cache/Controller/CallbackController.php:51Copy
  • SELECT `c2`.`language`,`c2`.`id` FROM `l8uf4_menu` AS `c` INNER JOIN `l8uf4_associations` AS `a` ON `a`.`id` = `c`.`id` AND `a`.`context` = :context INNER JOIN `l8uf4_associations` AS `a2` ON `a`.`key` = `a2`.`key` INNER JOIN `l8uf4_menu` AS `c2` ON `a2`.`id` = `c2`.`id` WHERE `c`.`id` = :id480μs1.41KBParams/libraries/src/Language/Associations.php:145Copy
  • SELECT SUM(CASE WHEN `a`.`next_execution` <= :now THEN 1 ELSE 0 END) AS due_count,SUM(CASE WHEN `a`.`locked` IS NULL THEN 0 ELSE 1 END) AS locked_count FROM `l8uf4_scheduler_tasks` AS `a` WHERE `a`.`state` = 1597μs1.37KBParams/administrator/components/com_scheduler/src/Model/TasksModel.php:466Copy
  • SELECT `alias` FROM `l8uf4_content` WHERE `id` = :id210μs1.31KBParams/components/com_content/src/Service/Router.php:168Copy
  • SELECT `alias` FROM `l8uf4_content` WHERE `id` = :id181μs1.31KBParams/components/com_content/src/Service/Router.php:168Copy
  • SELECT m.item_id as id, m.item_id, m.description as metadescription, m.description, m.title as metatitle, m.title FROM l8uf4_osmeta_metadata m WHERE m.item_id='145' AND m.item_type='4'283μs3.3KB/administrator/components/com_osmeta/library/Free/Container/AbstractContainer.php:140Copy
  • SELECT `session_id` FROM `l8uf4_session` WHERE `session_id` = ?286μs1KBParams/libraries/vendor/joomla/session/src/Handler/DatabaseHandler.php:291Copy
  • UPDATE `l8uf4_session` SET `data` = ? , `time` = ? WHERE `session_id` = ?551μs592BParams/libraries/vendor/joomla/session/src/Handler/DatabaseHandler.php:318Copy