Особенности диагностики и лечения инфаркта миокарда у пациентов с терминальной почечной недостаточностью на терапии программным гемодиализом
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Antukh D.E., Shchekochikhin D.Yu., Nesterov A.P., Gilarov M.Yu. Diagnosis and treatment of myocardial infarction in patient with end-stage renal disease on chronic hemodialysis. Therapeutic Archive. 2019; 91 (6): 137–144. DOI: 10.26442/00403660.2019.06.000203
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Ключевые слова: инфаркт миокарда, гемодиализ, терминальная почечная недостаточность.
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This review represents different aspects of myocardial infarction in patient with end-stage renal disease on chronic hemodialysis. We discuss difficulties in diagnosis, optimal method of coronary revascularization, timing of hemodialysis session, medical therapy, as well as epidemiology and prognosis. There are no unambiguous answers to these problems because patients with end-stage renal disease were excluded from most of the studies.
Keywords: myocardial infarction, hemodialysis, end-stage renal disease.
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2. Herzog CA. How to manage the renal patient with coronary heart disease: The agony and the ecstasy of opinion-based medicine. J Am Soc Nephrol. 2003;14(10):2556-72. doi: 10.2308/ajpt-50738
3. Cheung AK, Sarnak MJ, Yan G, et al. Cardiac diseases in maintenance hemodialysis patients: Results of the HEMO Study. Kidney Int. 2004;65(6):2380-9. doi: 10.1111/j.1523-1755.2004.00657.x
4. Respalacios FECT, Aylor ALJT, Godoa LAYA, et al. Incident acute coronary syndromes in chronic dialysis patients in the United States 1. Kidney Int. 2002;62:1799-805. doi: 10.1046/j.1523-1755.2002.00638.x
5. Parekh RS, Zhang L, Fivush BA, Klag MJ. Incidence of Atherosclerosis by Race in the Dialysis Morbidity and Mortality Study: A Sample of the US ESRD Population. J Am Soc Nephrol. 2005:1420-6. doi: 10.1681/ASN.2004080661
6. Young BA, Rudser K, Kestenbaum B, Seliger SL, Andress D, Boyko EJ. Racial and ethnic differences in incident myocardial infarction in end-stage renal disease patients: The USRDS. Kidney Int. 2006;69(9):1691-8. doi: 10.1038/sj.ki.5000346
7. Conlon PJ, Krucoff MW, Minda S, Schumm D, Schwab SJ. Incidence and long-term significance of transient ST segment deviation in hemodialysis patients. Clin Nephrol. 1998;49(4):236-9.
8. Go AS, Bansal NMC. Chronic Kidney Disease and Risk of Presenting with Acute Myocardial Infarction versus Stable Exertional Angina in Adults with Coronary Heart Disease. NeuroImage. 2011;85(01):1-27. doi: 10.1016/j.neuroimage.2013.08.045
9. Herzog CA, Littrell K, Arko C, Frederick PD, Blaney M. Clinical characteristics of dialysis patients with acute myocardial infarction in the United States: A collaborative project of the United States renal data system and the national registry of myocardial infarction. Circulation. 2007;116(13):1465-72. doi: 10.1161/CIRCULATIONAHA.107.696765
10. Shroff GR, Frederick PD, Herzog CA. Renal failure and acute myocardial infarction: Clinical characteristics in patients with advanced chronic kidney disease, on dialysis, and without chronic kidney disease. A collaborative project of the United States Renal Data System/National Institutes of Health and the National Registry of Myocardial Infarction. Am Heart J. 2012;163(3):399-406. doi: 10.1016/j.ahj.2011.12.002
11. Fox CS, Muntner P, Chen AY, et al. Use of evidence-based therapies in short-term outcomes of ST-segment elevation myocardial infarction and non-ST-segment elevation myocardial infarction in patients with chronic kidney disease: A report from the national cardiovascular data acute coronary. Circulation. 2010;121(3):357-65. doi: 10.1161/CIRCULATIONAHA.109.865352
12. Szummer K, Lundman P, Jacobson SH, et al. Relation between renal function, presentation, use of therapies and in-hospital complications in acute coronary syndrome: Data from the SWEDEHEART register. J Intern Med. 2010;268(1):40-9. doi: 10.1111/j.1365-2796.2009.02204.x
13. Surana SP, Riella LV, Keithi-Reddy SR, Charytan DM, Singh AK. Acute coronary syndrome in ESRD patients. Kidney Int. 2009;75(5):558-62. doi: 10.1038/ki.2008.233
14. Thygesen K, Alpert JS, Jaffe AS, et al. Fourth Universal Definition of Myocardial Infarction (2018). Circulation. 2018;1. doi: 10.1016/j.gheart.2018.08.004
15. Dubin RF, Li Y, He J, et al. Predictors of high sensitivity cardiac troponin T in chronic kidney disease patients: A cross-sectional study in the chronic renal insufficiency cohort (CRIC). BMC Nephrol. 2013;14(1). doi: 10.1186/1471-2369-14-229
16. Van der Linden N, Cornelis T, Kimenai DM, et al. Origin of Cardiac Troponin T Elevations in Chronic Kidney Disease. Circulation. 2017;136(11):1073-5. doi: 10.1161/CIRCULATIONAHA.117.029986
17. Stacy SR, Suarez-Cuervo C, Berger Z, et al. Role of troponin in patients with chronic kidney disease and suspected acute coronary syndrome: A systematic review. Ann Intern Med. 2014;161(7):502-12. doi: 10.7326/M14-0746
18. Twerenbold R, Wildi K, Jaeger C, et al. Optimal cutoff levels of more sensitive cardiac troponin assays for the early diagnosis of myocardial infarction in patients with renal dysfunction. Circulation. 2015;131(23):2041-50. doi: 10.1161/CIRCULATIONAHA.114.014245
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1 ФГАОУ ВО «Первый Московский государственный медицинский университет им. И.М. Сеченова» Минздрава России (Сеченовский Университет), Москва, Россия;
2 ФГБОУ ВО «Российский национальный исследовательский медицинский университет им. Н.И. Пирогова» Минздрава России, Москва, Россия
________________________________________________
D.E. Antukh1, D.Yu. Shchekochikhin1, A.P. Nesterov2, M.Yu. Gilarov2
1 Sechenov First Moscow State Medical University (Sechenov University), Moscow, Russia;
2 Pirogov Russian National Research Medical University, Moscow, Russia