miokardiumis infarqti ST-segmentis elevaciis gareSe /arastabiluri ...
miokardiumis infarqti ST-segmentis elevaciis gareSe /arastabiluri ...
miokardiumis infarqti ST-segmentis elevaciis gareSe /arastabiluri ...
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a) UA/N<strong>ST</strong>EMI-is dros, PCI da CABG revaskularizacia<br />
klasi I<br />
1. CABG pacientebisaTvis marcxena koronaris ZiriTadi totis mniSvnelovani<br />
dazianebiT.<br />
2. CABG pacientebisaTvis 3-sisxlZarRvovani koronaruli dazianebiT.<br />
sargebloba ufro didia pacientebSi gauaresebuli LV funqciiT (EF< 50%ze)<br />
3. CABG pacientebisaTvis 2-sisxlZarRvovani koronaruli paTologiiT<br />
romelTagan erT-erTi aris marcxena wina daswvrivi totis proqsimaluri<br />
<strong>segmentis</strong> mniSvnelovani paTologia da aRiniSneba gauaresebuli LV<br />
funqcia (EF< 50%-ze) an gamoxatulia iSemia arainvaziuri testirebis dros.<br />
4. PCI da CABG pacientebisaTvis 1 an 2-sisxlZarRvovani koronaruli<br />
paTologiiT romelTac ara aqvT marcxena koronaris wina daswvrivi totis<br />
proqsimaluri <strong>segmentis</strong> dazianeba, magram iSemiuri Tumca moqmedi<br />
<strong>miokardiumis</strong> (viable) zona didia da arainvaziuri testirebisas gvaqvs<br />
maRali riskis kriteriumebi.<br />
5. .PCI pacientebisaTvis multi-sisxlZarRvovani koronaruli dazianebebiT,<br />
stentirebisTvis mosaxerxebeli koronaruli anatomiiT, normaluri LV<br />
funqciiT da diabetis <strong>gareSe</strong>.<br />
6. CABG SigniTa mamaruli arteriiT, pacientebSi multi-sisxlZarRvovani<br />
kornaruli dazianebebiT da namkurnalevi Saqriani diabetiT.<br />
7. intravenuri, GP IIb/IIIa inhibitorebi UA/N<strong>ST</strong>EMI-is mqone pirebSi PCI-is<br />
Catarebisas.<br />
klasi II A<br />
1. PCI an CABG, pacientebSi 1-sisxlZarRvovani koronaruli dazianebiT<br />
romelTagan erT-erTi aris marcxena koronaris wina daswvrivi totis<br />
proqsimaluri <strong>segmentis</strong> mniSvnelovani dazianeba.<br />
klasi II B<br />
1. PCI pacientebSi 2 an 3-sisxlZarRvovani mniSvnelovani koronaruli<br />
dazianebiT, romelTagan erT-erTi aris marcxena koronaris wina daswvrivi<br />
totis proqsimaluri segmenti, pacients aqvs namkurnalevi diabeti an<br />
gauaresebuli LV funqcia da kaTeterizaciisaTvis Sesaferisi anatomia.<br />
klasi III<br />
1. PCI da CABG, pacientebSi romelTac aqvT umniSvnelo koronaruli stenozi<br />
(≤ 50% diametri).<br />
2. PCI pacientebSi marcxena ZiriTadi koronaruli arteriis mniSvnelovani<br />
daavadebiT, romlebic arian CABG-is kandidatebi<br />
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