The role of intensity of destructive-inflammatory component of coronary artery involvement in patients, who require myocardial revascularization
Currently, it should be noted that the level of the destructive-inflammatory component in the pathogenesis of coronary heart disease have increased. The objective of our study was to identify the patterns that determine the diagnosis and correction of the destructiveinflammatory component of coronary artery involvement to optimize the surgical approach. From 2002 to 2009 weve treated 105 patients with varying degrees of severity of destructive-inflammatory component of coronary artery involvement. Until 2007 weve used conventional methods of treatment of the patients, who have been performed coronary bypass surgery - weve determined the control group - 52,4%. In 2007, weve developed an algorithm to detect and correct destructive-inflammatory component of the coronary artery - weve determined the main group 50 patients- 47,6%. Weve developed a diagnostic and treatment algorithm which can reliably detect inflammatory changes in the coronary artery, and weve offered a conservative tactic and surgical technique allows to protect these patients from thrombohemorrhagic complications. It is credibility in evidence (the criterion of Pearson's X2) that using the proposed diagnostic and treatment algorithm in patients with inflammatory component of coronary involvement reduce the total number of intra- and postoperative complications on 16,3%, as well as decrease the number of the reoperations on 5,3%.