Possibilities of predicting adverse cardiovascular events based on the analysis of clinical and instrumental research methods, as well as sST2 in patients after myocardial infarction.

OBJECTIVE: Aim: To determine the possibility of predicting adverse cardiovascular events based on the analysis of clinical and instrumental research methods, as well as sST2 in patients after myocardial infarction. PATIENTS AND METHODS: Materials and Methods: The study included 64 patients who suffered an acute myocardial infarction and underwent PCI with balloon angioplasty and stenting of the infarct-related vessel in the acute period. The predictors of adverse cardiovascular events were assessed events during 1 year of observation. Indicators of echocardiography and coronary angiography were assessed and concentrations sST2. RESULTS: Results: A worse prognosis was associated with intermediate ejection fraction (EF) (odds ratio (OR)=3.981, p<0.05), left aneurysm ventricle (LV) (OR=29.5, p<0.05), high concentrations of sST2 (OR=1.017, p<0.05) and scores on the Syntax scale (OR=1.001, p<0.05). CONCLUSION: Conclusions: In patients who underwent percutaneous coronary intervention for myocardial infarction, adverse outcome during the next 2 years is associated with coronary and echocardiographic parameters, as well as biochemical indicators of myocardial stress and fibrosis. HF patients with intermediate EF, LV aneurysm, high sST2 concentrations, and high Syntax scores have the worst prognosis.

Patterns of cardiovascular disease in the carpathian region

Introduction: Cardiovascular diseases remain a problem of the modern medical community. Mortality from cardiovascular disease is at the forefront in the structure of the causes of mortality, so active support for the prevention and treatment of this group of diseases is the most effective measure as it will affect the continuation of life expectancy. The aim: To analyze features and patterns of cardiovascular disease in the Carpathian region. Material and methods: The features of the course and treatment of acute coronary syndrome in the period 2014-2018 in the Ivano-Frankivsk region are analyzed. Clinicalanamnestic, geographical, demographic, the effectiveness of patient care, statistical and acute coronary syndrome registry data were studied. Conclusions: Preventive activities, both primary and secondary, with the promotion of knowledge on the preservation and strengthening of health, are a guarantee of positive progress in overcoming cardiovascular diseases. Creation of rehabilitation centers with a multidisciplinary approach, along with medical and physical interventions of psychological support and training, will contribute to the improvement and prevention of complications of cardiovascular disease. The cooperation of cardiological communities between the regions has a social and medical significance, namely the training of specialists, the exchange of experience, scientific projects with the medical community of Opole Voivodship is one of the directions of increasing the efficiency of treatment of cardiological patients.