2014


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2014/№3

Acute coronary syndrome: Comparison of clinical and postmortem diagnoses

Magrupov B. A., Ubaydullaeva V. U., Vervekina T. A.

Keywords: acute coronary syndrome, postmortem picture

DOI: 10.18087/rhj.2014.3.1939

Background. In recent years, the term “acute coronary syndrome” (ACS) was introduced into clinical practice. This term unites several conditions induced by partial or complete closure of a coronary artery, which are difficult to differentiate based only on the clinical picture. At the same time, the term ACS is often used groundlessly in clinical practice. Aim. To compare postmortem and clinical diagnoses of ACS in patients with various surgical and somatic abnormalities. Materials and methods. Analysis of postmortem examinations was performed for 176 patients with clinically diagnosed ACS. Results. 32 of 132 therapeutic patients (26.5 %) and 35 of 44 surgical patients (79.5 %) were diagnosed with ACS groundlessly; furthermore, the form of disease was not specified for 25 patients. Conclusion. Superficial approach without a deep clinical analysis results in groundless diagnosis of ACS.
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Magrupov B. A., Ubaydullaeva V. U., Vervekina T. A. Acute coronary syndrome: Comparison of clinical and postmortem diagnoses. Russian Heart Journal. 2014;77 (3):156–159

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