Paradoxes of non-ST-segment elevation acute coronary in real-life clinical practice settings

The aim of the review was to identify current barriers, "paradoxes", in the treatment of patients with non-ST segment elevation acute coronary syndrome (NSTE-ACS), based on a critical analysis of modern studies and identified evidence gaps.NSTE-ACS can be considered from the perspective of...

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Main Authors: A. K. Nesova, V. V. Ryabov
Format: Article
Language:Russian
Published: «FIRMA «SILICEA» LLC 2024-04-01
Series:Российский кардиологический журнал
Subjects:
Online Access:https://russjcardiol.elpub.ru/jour/article/view/5623
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author A. K. Nesova
V. V. Ryabov
author_facet A. K. Nesova
V. V. Ryabov
author_sort A. K. Nesova
collection DOAJ
description The aim of the review was to identify current barriers, "paradoxes", in the treatment of patients with non-ST segment elevation acute coronary syndrome (NSTE-ACS), based on a critical analysis of modern studies and identified evidence gaps.NSTE-ACS can be considered from the perspective of the following paradoxes: the risk-treatment paradox; risk stratification paradox; scope and timing of dual antiplatelet therapy; paradox of insufficient benefit of invasive treatment; age and comorbidity; tactics for multi-vessel coronary artery disease.A review of publications indexed in the Pubmed and Russian Science Citation Index (RSCI) databases was carried out. The search depth was 10 years (from 2013 to 2023). The search resulted in 328 studies, of which 45 were used to write the final review.
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language Russian
publishDate 2024-04-01
publisher «FIRMA «SILICEA» LLC
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series Российский кардиологический журнал
spelling doaj-art-cb6dec1b15c34e708b4767b09b0cfce72025-08-04T13:00:30Zrus«FIRMA «SILICEA» LLCРоссийский кардиологический журнал1560-40712618-76202024-04-0129310.15829/1560-4071-2024-56233987Paradoxes of non-ST-segment elevation acute coronary in real-life clinical practice settingsA. K. Nesova0V. V. Ryabov1Cardiology Research Institute, Tomsk National Research Medical Center, Russian Academy of Sciences, Tomsk, RussiaCardiology Research Institute, Tomsk National Research Medical Center, Russian Academy of Sciences, Tomsk, RussiaThe aim of the review was to identify current barriers, "paradoxes", in the treatment of patients with non-ST segment elevation acute coronary syndrome (NSTE-ACS), based on a critical analysis of modern studies and identified evidence gaps.NSTE-ACS can be considered from the perspective of the following paradoxes: the risk-treatment paradox; risk stratification paradox; scope and timing of dual antiplatelet therapy; paradox of insufficient benefit of invasive treatment; age and comorbidity; tactics for multi-vessel coronary artery disease.A review of publications indexed in the Pubmed and Russian Science Citation Index (RSCI) databases was carried out. The search depth was 10 years (from 2013 to 2023). The search resulted in 328 studies, of which 45 were used to write the final review.https://russjcardiol.elpub.ru/jour/article/view/5623non-st segment elevation acute coronary syndromerisk-treatment paradoxrisk stratificationgeriatric syndromesmultivessel coronary disease
spellingShingle A. K. Nesova
V. V. Ryabov
Paradoxes of non-ST-segment elevation acute coronary in real-life clinical practice settings
Российский кардиологический журнал
non-st segment elevation acute coronary syndrome
risk-treatment paradox
risk stratification
geriatric syndromes
multivessel coronary disease
title Paradoxes of non-ST-segment elevation acute coronary in real-life clinical practice settings
title_full Paradoxes of non-ST-segment elevation acute coronary in real-life clinical practice settings
title_fullStr Paradoxes of non-ST-segment elevation acute coronary in real-life clinical practice settings
title_full_unstemmed Paradoxes of non-ST-segment elevation acute coronary in real-life clinical practice settings
title_short Paradoxes of non-ST-segment elevation acute coronary in real-life clinical practice settings
title_sort paradoxes of non st segment elevation acute coronary in real life clinical practice settings
topic non-st segment elevation acute coronary syndrome
risk-treatment paradox
risk stratification
geriatric syndromes
multivessel coronary disease
url https://russjcardiol.elpub.ru/jour/article/view/5623
work_keys_str_mv AT aknesova paradoxesofnonstsegmentelevationacutecoronaryinreallifeclinicalpracticesettings
AT vvryabov paradoxesofnonstsegmentelevationacutecoronaryinreallifeclinicalpracticesettings