cardiovascularКардиоваскулярная терапия и профилактикаCardiovascular Therapy and Prevention1728-88002619-0125«SILICEA-POLIGRAF» LLC10.15829/1728-8800-2024-4019MXTTFTcardiovascular-4019Research ArticleМНЕНИЕ ПО ПРОБЛЕМЕOPINION ON A PROBLEMПовторный инфаркт миокарда — нерешённая проблема доказательной медициныRecurrent myocardial infarction as an unsolved problem of evidence-based medicinehttps://orcid.org/0000-0002-7717-4362МарцевичС. Ю.MartsevichS. Yu.

Марцевич Сергей Юрьевич — д.м.н., профессор, руководитель отдела профилактической фармакотерапии.

Москва

Moscow

sergeymartsevich@mail.ruФГБУ "Национальный медицинский исследовательский центр терапии и профилактической медицины" Минздрава РоссииNational Medical Research Center for Therapy and Preventive Medicine20242905202423640194019Copyright © Марцевич С.Ю., 20242024Марцевич С.Ю.Martsevich S.Y.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://cardiovascular.elpub.ru/jour/article/view/4019

Автор высказывает свое мнение о прогностической роли повторного инфаркта миокарда (ИМ) в настоящее время. В течение многих лет повторный ИМ считался одним из наиболее тяжелых осложнений первичного ИМ. Рассматриваются различия в официальном и научном определении повторного ИМ. Отмечается, что эти различия являются причиной неоднозначной оценки распространенности и прогностической роли повторного ИМ. Анализ литературных данных позволяет заключить, что повторный ИМ и в настоящее время сопровождается существенно более высокими показателями смертности, как в острой фазе, так и в отдаленные сроки по сравнению с первичным ИМ. Анализируются основные факторы, определяющие неблагоприятный прогноз жизни после повторного ИМ. Отмечается, что в современных клинических рекомендациях отсутствуют данные о специфике лечения повторного ИМ. Делается вывод о необходимости разработки специфических методов лечения повторного ИМ.

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.

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The authors declare that there are no conflicts of interest present.