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

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maRali riski<br />

PCI<br />

savaraudo UA/N<strong>ST</strong>EMI-is dros moqmedebis algoriTmi<br />

koronaruli revaskularizacia<br />

savaraudoa UA/N<strong>ST</strong>EMI klinikuri<br />

niSnebis mixedviT<br />

saSualo riski<br />

SesaZlebelia rogorc adreuli invaziuri<br />

aseve adreuli konservatiuli midgoma<br />

maRali saSualo<br />

dabali<br />

dabali riski<br />

vimeorebT<br />

troponins<br />

SesaZlebelia<br />

rogorc adreuli<br />

invaziuri aseve<br />

adreuli<br />

konservatiuli<br />

midgoma/ stres<br />

test- 2-3 dReSi<br />

sqema #3<br />

negatiuri/<br />

dabali<br />

stress testi<br />

SesaZlebelia<br />

gakeTdes 24sT-Si<br />

koronaruli revaskularizacia (PCI an CABG) tardeba prognozis<br />

gasaumjobeseblad, simptomTa Sesamsubuqeblad, iSemiis garTulebaTa<br />

profilaqtikisaTvis da funqcionaluri Sromisunarianobis gasaumjobeseblad.<br />

maRali riskis mqone koronaruli anatomiis mqone pacientebis mdgomareoba<br />

umjobesdeba revaskularizaciis Semdeg (igulisxmeba simptomebi da sicocxlis<br />

xangZlivoba). koronaruli revaskularizaciis Cveneba UA/N<strong>ST</strong>EMI-s dros msgavsia<br />

qronikuli stabiluri stenokardiisa. PCI–is umravlesoba amJamad moicavs<br />

balonur dilatacias koronaruli stentirebiT. stentireba, romelic xSirad Tan<br />

axlavs kaTeterul revaskularizacias, amcirebs sisxlZarRvTa mwvave daxSobis<br />

da gviani restenozis risks. PCI iZleva angiografiul gaumjobesebas pacientTa<br />

umetesobaSi UA/N<strong>ST</strong>EMI-iT. UA/N<strong>ST</strong>EMI-is mqone pacientebSi PCI-sTan erTad<br />

warmatebiT gamoiyeneba GPIIb/IIIa receptoris inhibitorebi. es damokidebulia<br />

imaze, rom Trombocitebi mniSvnelovan rols asrulebs iSemiuri garTulebebisas<br />

PCI-s dros. am proceduraTa usafrTxoeba izrdeba aspirinis, heparinis da<br />

antiiSemiuri preparatebis standartul reJimze intravenuri GPIIb/IIIa receptoris<br />

inhibitorebis damatebiT.<br />

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