американские рекомендации по чкв 2011 года

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    2011

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    2011 ACCF/AHA/SCAI Guideline for

    Percutaneous Coronary Intervention

    American College of Cardiology Foundation, American Heart Association Task

    Force on Practice Guidelines, Society for Cardiovascular Angiography and

    Interventions, Glenn N. Levine, Eric R. Bates, James C. Blankenship, Steven R.

    Bailey, John A. Bittl, Bojan Cercek, Charles E. Chambers, Stephen G. Ellis, Robert

    A. Guyton, Steven M. Hollenberg, Umesh N. Khot, Richard A. Lange, Laura Mauri,

    Roxana Mehran, Issam D. Moussa, Debabrata Mukherjee, Brahmajee K.

    Nallamothu, and Henry H. Ting

    J. Am. Coll. Cardiol. published online Nov 7, 2011;

    doi:10.1016/j.jacc.2011.08.007

    This information is current as of November 15, 2011

    The online version of this article, along with updated information and services, is

    located on the World Wide Web at:

    http://content.onlinejacc.org/cgi/content/full/j.jacc.2011.08.007v1

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    ACCF/AHA/SCAI 2011

    - , - .

    Glenn N. Levine, MD, FACC, FAHA, Eric R. Bates, MD, FACC,

    FAHA, - James C. Blankenship, MD, FACC, FSCAI, -Steven R. Bailey, MD, FACC, FSCAI John A. Bittl, MD, FACC Bojan Cercek, MD, FACC, FAHA Charles E. Chambers, MD, FACC, FSCAI Ste-phen G. Ellis, MD, FACC Robert A. Guyton, MD, FACC| Steven M. Hollenberg, MD, FACC Umesh N. Khot, MD, FACC Richard A. Lange, MD, FACC, FAHA Laura Mauri, MD, MSC, FACC, FSCAI Roxana Mehran, MD, FACC, FAHA, FSCAI Issam D. Moussa, MD, FACC, FAHA, FSCAI Debabrata Mukherjee, MD, FACC, FSCAI Brahmajee K. Nallamothu, MD, FACC Henry H. Ting, MD, FACC, FAHA ACCF/AHA. SCAI. . || ACCF/AHA . ACCF/AHA -.

    ACCF/AHA Alice K. Jacobs, MD, FACC, FAHA, Jeffrey L. Anderson, MD, FACC, FAHA, Nancy Albert, PHD, CCNS, CCRN, FAHA Mark A. Creager, MD, FACC, FAHA

    Steven M. Ettinger, MD, FACC, Robert A. Guyton, MD, FACC Jonathan L. Halperin,

    MD, FACC, FAHA Judith S. Hochman, MD, FACC, FAHA Frederick G. Kushner, MD,

    FACC, FAHA E. Magnus Ohman, MD, FACC William Stevenson, MD, FACC, FAHA

    Clyde W. Yancy, MD, FACC, FAHA

    , - - 2011 . - - 2011 .

    - : Levine GN, Bates ER, Blankenship JC, Bailey SR, Bittl JA, Cercek B, Chambers CE, Ellis SG, Guyton RA,

    Hollenberg SM, Khot UN, Lange RA, Mauri L, Mehran R, Moussa ID, Mukherjee D,

    Nallamothu BK, Ting HH. - ACCF/AHA/SCAI 2011 .: - , - - J Am Coll Cardiol 2011;58:XXXXX.

    (www.cardiosource.org), (my.americanheart.org) - (www.scai.org) Circulation Catheterization and Cardiovascular Interven-tions.

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    ACCF/AHA/SCAI: , 2011

    , - .

    : J. Am. Coll. Cardiol. published online Nov 7, 2011; doi:10.1016/j.jacc.2011.08.007

    http://content.onlinejacc.org/cgi/content/full/j.jacc.2011.08.007v1

    - : www.npsaik.ru

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    .......................................................................................... 8

    ............................................................................................................... 9

    1. ............................................................................................................... 14

    1.1. ............................................................. 14 1.2. ............................................................................................ 15 1.3. .............................................................. 15 1.4. .................................................................. 15

    2. ..................................................................... 16

    2.1. : . ........................................................................................................ 18

    2.2. : . ........................................................................................................ 21

    2.3. : . ........................................................................................................ 23

    2.4. ...... 24 2.5. ................................. 25 2.6. .................................................................................. 25

    2.6.1. BMS .............................................................................................. 26 2.6.2. DES ................................................... 27

    2.7. ................................... 28

    2.7.1. ............................................................................................... 28 2.7.2. , .. 28 2.7.3. ........................... 29

    2.8. . 30

    2.9. , ................................................................................................... 31

    2.9.1. ........................................................................................ 31 2.9.2. ................................................................ 31 2.9.3. ....................................................................... 32 2.9.4. .............................................................. 32 2.9.5. ............................................................................................. 33 2.9.6. / ST ...................................................................................... 33

    2.9.7. : ......................................................................................................... 34

    2.10. , ................................................................................................ 34 2.11. : ......................................................................................................... 34

    3. ................................................................................................. 36

    3.1. ................................................................................................. 36

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    3.1.1. ............................................................................. 36 3.1.2. ...................................................................................... 36 3.1.3. ...................................................................................... 36

    3.2. .................................................................................... 37 3.3. ............................................................................................ 37

    4. ................................................................................................ 39

    4.1. ........ 39 4.1.1. ................................................................................................ 39 4.1.2. ....................................................................................................... 39 4.1.3. .............................................................................. 41

    4.2. ........................................................................................ 41 4.2.1. ....................................................................... 42 4.2.2. ................................................... 42

    4.3. . ...................................... 43 4.4. - . ................. 44 4.5. . ........................................ 45 4.6. . ........................................................ 46 4.7. : ..................................................... 46

    4.8. , . ............ 47

    5. ............................................................................................ 48

    5.1. : ........................................................... 48 5.2. ....................................... 53

    5.2.1. / ST: ................................................................ 53 5.2.2. ST ........................................ 54 5.2.3. : ........................................................... 59

    5.2.4. : ........................................................................ 62

    5.3. : .......................................................... 63 5.4. .............................. 65

    5.4.1. : ...................... 65 5.4.2. : ..... 66 5.4.3. ................................................... 67

    5.5. ................................... 68 5.5.1. : ........................ 68 5.5.2. : .................................................................. 68 5.5.3. : ............................................... 68 5.5.4. : ........................... 69 5.5.5. : ......................... 69

    5.6. : ......................................................................................................... 70

    5.7. ......................................................... 71 5.7.1. ...................................................................... 71 5.7.2. : ........... 72 5.7.3. : ........ 74

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    5.7.4. ..................................................................... 77 5.7.5. No-Reflow: ... 83

    5.8. ............................... 84 5.8.1. : ............................... 84 5.8.2. : ..................................................... 84 5.8.3. : ........................................ 85 5.8.4. - : ............................................... 86 5.8.5. : ...................................... 87

    5.9. ............................................. 87 5.9.1. ....................................................................