Features of Risk Stratification, Diagnosis and Secondary Prevention in Patients with Multifocal Arterial Disease. Part 1: Risk Stratification and Diagnosis

Multifocal arterial disease is common in patients with atherosclerotic cardiovascular disease and is associated with an increased risk of cardiovascular complications and death. The possibility of improving the prognosis of patients with multifocal arterial disease is associated with a more efficien...

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Main Authors: V. G. Grachev, S. S. Vedenskaya, O. G. Smolenskaya
Format: Article
Language:English
Published: Столичная издательская компания 2021-03-01
Series:Рациональная фармакотерапия в кардиологии
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Online Access:https://www.rpcardio.online/jour/article/view/2391
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author V. G. Grachev
S. S. Vedenskaya
O. G. Smolenskaya
author_facet V. G. Grachev
S. S. Vedenskaya
O. G. Smolenskaya
author_sort V. G. Grachev
collection DOAJ
description Multifocal arterial disease is common in patients with atherosclerotic cardiovascular disease and is associated with an increased risk of cardiovascular complications and death. The possibility of improving the prognosis of patients with multifocal arterial disease is associated with a more efficient diagnosis of both the underlying disease and obstructive atherosclerotic lesions of other localizations and with a more intensive secondary prevention. According to observational studies, the presence of significant stenoses of the carotid arteries and, especially, lower extremities arterial disease can be predictorы of similar lesions in other vascular beds and their detection with screening methods available in clinical practice allows improvement of the diagnosis in patients with suspected coronary artery disease. On the other hand, screening of lower extremities artery diseases in patients with acute coronary syndrome can clarify indications for the use of invasive diagnostic and treatment strategy, in patients with chronic coronary artery disease it can justify more aggressive approaches to secondary prevention.
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series Рациональная фармакотерапия в кардиологии
spelling doaj-art-a7cf3b6ef1a24d26a8e3065164551c7d2025-07-03T07:28:37ZengСтоличная издательская компанияРациональная фармакотерапия в кардиологии1819-64462225-36532021-03-01171839110.20996/1819-6446-2021-02-101843Features of Risk Stratification, Diagnosis and Secondary Prevention in Patients with Multifocal Arterial Disease. Part 1: Risk Stratification and DiagnosisV. G. Grachev0S. S. Vedenskaya1O. G. Smolenskaya2Urals State Medical UniversityUrals State Medical UniversityUrals State Medical UniversityMultifocal arterial disease is common in patients with atherosclerotic cardiovascular disease and is associated with an increased risk of cardiovascular complications and death. The possibility of improving the prognosis of patients with multifocal arterial disease is associated with a more efficient diagnosis of both the underlying disease and obstructive atherosclerotic lesions of other localizations and with a more intensive secondary prevention. According to observational studies, the presence of significant stenoses of the carotid arteries and, especially, lower extremities arterial disease can be predictorы of similar lesions in other vascular beds and their detection with screening methods available in clinical practice allows improvement of the diagnosis in patients with suspected coronary artery disease. On the other hand, screening of lower extremities artery diseases in patients with acute coronary syndrome can clarify indications for the use of invasive diagnostic and treatment strategy, in patients with chronic coronary artery disease it can justify more aggressive approaches to secondary prevention.https://www.rpcardio.online/jour/article/view/2391cardiovascular diseasepolyvascular diseasescreeningrisk assessmentsecondary preventionantithrombotic therapy
spellingShingle V. G. Grachev
S. S. Vedenskaya
O. G. Smolenskaya
Features of Risk Stratification, Diagnosis and Secondary Prevention in Patients with Multifocal Arterial Disease. Part 1: Risk Stratification and Diagnosis
Рациональная фармакотерапия в кардиологии
cardiovascular disease
polyvascular disease
screening
risk assessment
secondary prevention
antithrombotic therapy
title Features of Risk Stratification, Diagnosis and Secondary Prevention in Patients with Multifocal Arterial Disease. Part 1: Risk Stratification and Diagnosis
title_full Features of Risk Stratification, Diagnosis and Secondary Prevention in Patients with Multifocal Arterial Disease. Part 1: Risk Stratification and Diagnosis
title_fullStr Features of Risk Stratification, Diagnosis and Secondary Prevention in Patients with Multifocal Arterial Disease. Part 1: Risk Stratification and Diagnosis
title_full_unstemmed Features of Risk Stratification, Diagnosis and Secondary Prevention in Patients with Multifocal Arterial Disease. Part 1: Risk Stratification and Diagnosis
title_short Features of Risk Stratification, Diagnosis and Secondary Prevention in Patients with Multifocal Arterial Disease. Part 1: Risk Stratification and Diagnosis
title_sort features of risk stratification diagnosis and secondary prevention in patients with multifocal arterial disease part 1 risk stratification and diagnosis
topic cardiovascular disease
polyvascular disease
screening
risk assessment
secondary prevention
antithrombotic therapy
url https://www.rpcardio.online/jour/article/view/2391
work_keys_str_mv AT vggrachev featuresofriskstratificationdiagnosisandsecondarypreventioninpatientswithmultifocalarterialdiseasepart1riskstratificationanddiagnosis
AT ssvedenskaya featuresofriskstratificationdiagnosisandsecondarypreventioninpatientswithmultifocalarterialdiseasepart1riskstratificationanddiagnosis
AT ogsmolenskaya featuresofriskstratificationdiagnosisandsecondarypreventioninpatientswithmultifocalarterialdiseasepart1riskstratificationanddiagnosis