LEFT MAIN CORONARY ARTERY STENOSIS IN ACUTE CORONARY SYNDROME

Coronary heart disease (CHD) continues to maintain one of the leading positions in the structure of mortality in the population of developed countries. The most common cause of myocardial ischemia is atherosclerotic lesion of the coronary arteries that leads to narrowing of these arteries, which causes a decrease in myocardial perfusion at rest or limits the possibility of its adequate increase with an increase in myocardial oxygen demand. The lesion of the left coronary artery trunk is one of the main factors determining the increase in morbidity and mortality of patients with CHD, detected in about 11% of patients with CHD. A lesion of over 50% is considered hemodynamically significant and allows patients to be classified as high risk of sudden death. The prognosis for such patients receiving conservative therapy without surgical treatment is unfavorable and associated with high mortality. According to the latest European guidelines, choosing the revascularization technique requires a Heart Team discussion to define the best revascularization strategy in relation of efficiency and safety of the treatment strategy for acute coronary syndrome.

coronary heart disease, acute coronary syndrome, myocardial infarction, unstable angina, coronary artery, the left main coronary artery, acute heart failure, coronary angiography, percutaneous coronary intervention, stenting

1. Borja, Ibanez. Рекомендации ESC и РКО по ведению пациентов с острым инфарктом миокарда с подъемом сегмента ST/ Borja Ibanez, Stefan James, Stefan Agewall, Manuel J. Antunes;. пер. с англ. 2017. 120с.

2. Franz-Josef, Neumann. Рекомендации ESC/EACTS/ EAPCI по реваскуляризации миокарда 2018г. / Miguel Sousa-Uva, Anders Ahlsson и др. 180c

3. Francois, Mach. Рекомендации ESC / EAS по лечению дислипидемий, 2019г/ Francois Mach, Colin Baigent, Alberico L. Catapano1.56сColin Baigent, Alberico L. Catapano1.

4. Marco Roffi, Рекомендации ESC по ведению пациентов с острым коронарным синдромом без стойкого подъема сегмента ST 2015 г. / Carlo Patrono, Jean-Philippe Collettидр. 48-62с.

5. Барбараш, О.Л. Креативная кардиология / О.Л. Барабаш, О.М. Поликутина, Е.В. Тавлуева, Н.А. Барбараш // Поражение ствола левой коронарной артерии: взгляд кардиолога. 2015. 5с.