miokardiumis infarqti ST-segmentis elevaciis gareSe /arastabiluri ...

6. antikoagulacia kanqveSa LMWH-iT an intravenuri arafraqciuli hepariniT
(UFH) unda daematos ASA-Ti da /an klopidogreliT antiTrombocitarul
mkurnalobas.
7. Trombocitis GP IIb/IIIa antagonisti unda iqnas damatebuli ASA da heparinTan
erTad pacientebSi, romelTanac dagegmilia kaTeterizacia da PCI. GP IIb/IIIa
antagonisti aseve SesaZloa Seyvanili iyos uSualod PCI-is win.
klasi II A
1. enoqsaparini umjobesia UFH-ze, rogorc antikoagulanti Tirkmlis ukmarisobis
ararsebobis SemTxvevaSi da Tu CABG ar igegmeba 24 saaTis ganmavlobaSi.
klasi III
1. intravenuri fibrinolizuri Terapia pacientebSi mwvave ST segmentis
elevaciis, WeSmariti ukana kedlis MI-is an savaraudod axali LBBB-is gareSe.
2. absiqsimabis miReba pacientebSi, romlebSic PCI ar igegmeba.
g) riskis gansazRvra
ACS-is mqone pacientTa mkurnaloba moiTxovs periodulad riskis Sefasebas.
arainvaziuri testirebis mizans warmoadgens CHD-is dadastureba an uaryofa
pacientebSi CHD-is arsebobis dabali riskiT da maTSi prognozis Sefaseba.
standartulia datvirTvis ekg stres-testi: simartivis, dabali fasis, farTod
gavrcelebulobis gamo pacientebSi, romelTa mosvenebis kardiograma saSualebas
gvaZlevs movaxdinoT misi Sedareba datvirTvis ekg-sTan da SeuZliaT fizikuri
datvirTvis atana, xolo misi SeuZleblobis dros tardeba farmakologiuri
gamosaxulebiTi stres-testi.
rekomendaciebi:
klasi I
1. arainvaziuri stres-testireba dabali riskis mqone pacientebSi (cxrili 1),
romelTac ara aReniSnebaT iSemia mosvenebis an mcire fizikuri aqtivobisas an
Tu CHF ar aris gamoxatuli 12-24 saaTis ganmavlobaSi.
2. arainvaziuri stres-testireba saSualo riskis mqone pacientebSi (cxrili 1),
romelTac ara aqvT iSemia mosvenebis an mcire fizikuri aqtivobisas an Ty CHF
ar aris gamoxatuli minimum 2-3 dReSi.
3. stres-testis arCeva dafuZnebulia mosvenebis ekg-ze, datvirTvis unarze,
lokalur gamocdilebasa da teqnologiur SesaZleblobaze.
4. swrafi angiografia arainvaziuri riskis gansazRvris gareSe, intensiuri
TerapiiT stabilizaciis SeuZleblobisas.
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