Recurrent myocardial infarction as an unsolved problem of evidence-based medicine

The author brings out opinion on the prognostic role of recurrent myo­cardial infarction (MI) at the present time. For many years, recurrent MI was considered one of the most severe complications of primary MI. Differences in the official and scientific definition of recurrent MI are examined. These...

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Main Author: S. Yu. Martsevich
Format: Article
Language:Russian
Published: «SILICEA-POLIGRAF» LLC 2024-07-01
Series:Кардиоваскулярная терапия и профилактика
Subjects:
Online Access:https://cardiovascular.elpub.ru/jour/article/view/4019
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author S. Yu. Martsevich
author_facet S. Yu. Martsevich
author_sort S. Yu. Martsevich
collection DOAJ
description The author brings out opinion on the prognostic role of recurrent myo­cardial infarction (MI) at the present time. For many years, recurrent MI was considered one of the most severe complications of primary MI. Differences in the official and scientific definition of recurrent MI are examined. These differences are the reason for the ambiguous assessment of the prevalence and prognostic role of recurrent MI. Ana­lysis of the literature data makes it possible to conclude that recurrent MI is still accompanied by significantly higher mortality rates, both in the acute phase and in the long term, compared to primary MI. The main factors determining the unfavorable prognosis of life after recurrent MI are analyzed. It is noted that modern clinical guidelines do not contain data on the specifics of treatment for recurrent MI. Specific methods for the treatment of recurrent myocardial infarction should be developed.
format Article
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institution Matheson Library
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language Russian
publishDate 2024-07-01
publisher «SILICEA-POLIGRAF» LLC
record_format Article
series Кардиоваскулярная терапия и профилактика
spelling doaj-art-3b1b51cda2b14902b46f735e1ba9778f2025-08-04T12:50:32Zrus«SILICEA-POLIGRAF» LLCКардиоваскулярная терапия и профилактика1728-88002619-01252024-07-0123610.15829/1728-8800-2024-40192996Recurrent myocardial infarction as an unsolved problem of evidence-based medicineS. Yu. Martsevich0National Medical Research Center for Therapy and Preventive MedicineThe author brings out opinion on the prognostic role of recurrent myo­cardial infarction (MI) at the present time. For many years, recurrent MI was considered one of the most severe complications of primary MI. Differences in the official and scientific definition of recurrent MI are examined. These differences are the reason for the ambiguous assessment of the prevalence and prognostic role of recurrent MI. Ana­lysis of the literature data makes it possible to conclude that recurrent MI is still accompanied by significantly higher mortality rates, both in the acute phase and in the long term, compared to primary MI. The main factors determining the unfavorable prognosis of life after recurrent MI are analyzed. It is noted that modern clinical guidelines do not contain data on the specifics of treatment for recurrent MI. Specific methods for the treatment of recurrent myocardial infarction should be developed.https://cardiovascular.elpub.ru/jour/article/view/4019acute myocardial infarctionrecurrent myocardial infarc­tionofficial and scientific terminologyimmediate and long-term out­comesclinical guidelinestreatment specifics
spellingShingle S. Yu. Martsevich
Recurrent myocardial infarction as an unsolved problem of evidence-based medicine
Кардиоваскулярная терапия и профилактика
acute myocardial infarction
recurrent myocardial infarc­tion
official and scientific terminology
immediate and long-term out­comes
clinical guidelines
treatment specifics
title Recurrent myocardial infarction as an unsolved problem of evidence-based medicine
title_full Recurrent myocardial infarction as an unsolved problem of evidence-based medicine
title_fullStr Recurrent myocardial infarction as an unsolved problem of evidence-based medicine
title_full_unstemmed Recurrent myocardial infarction as an unsolved problem of evidence-based medicine
title_short Recurrent myocardial infarction as an unsolved problem of evidence-based medicine
title_sort recurrent myocardial infarction as an unsolved problem of evidence based medicine
topic acute myocardial infarction
recurrent myocardial infarc­tion
official and scientific terminology
immediate and long-term out­comes
clinical guidelines
treatment specifics
url https://cardiovascular.elpub.ru/jour/article/view/4019
work_keys_str_mv AT syumartsevich recurrentmyocardialinfarctionasanunsolvedproblemofevidencebasedmedicine