grekovВестник хирургии имени И.И. ГрековаGrekov's Bulletin of Surgery0042-4625Federal State Budgetary Educational Institution of Higher Education «Academician I.P. Pavlov First St. Petersburg State Medical University» of the Ministry of Healthcare of the Russion Federation, FSBEI HE I.P.Pavlov SPbSMU MOH Russia10.24884/0042-4625-2014-173-1-066-068grekov-482Research ArticleОПЫТ РАБОТЫEXPERIENCE OF WORKКОРОНАРНОЕ КОЛЛАТЕРАЛЬНОЕ КРОВООБРАЩЕНИЕ В ИНФАРКТ-ЗАВИСИМОЙ АРТЕРИИ У БОЛЬНЫХ С ОСТРЫМ ИНФАРКТОМ МИОКАРДА С ПОДЪЁМОМ И БЕЗ ПОДЪЁМА СЕГМЕНТА STCORONARY COLLATERAL CIRCULATION IN INFARCTION-RELATED ARTERY IN PATIENTS WITH ACUTE MYOCARDIAL INFARCTION WITH RISE AND WITHOUT RISE OF ST SEGMENTЯицкийНиколай АнтоновичYaitskyN. A.noemail@neicon.ruЗверевОлег ГеоргиевичZverevO. G.93411@mail.ruВолковАлексей БорисовичVolkovA. B.ABVolkov@km.ruВойновАлексей ВалерьевичVoinovA. V.voinovalex@mail.ruАбдулрагимовРуслан ИсраилевичAbdulragimovR. I.hekimdjan@mail.ruПервый Санкт-Петербургский государственный медицинский университет им. акад. И. П. ПавловаРоссияSaint-Petersburg Pavlov First State Medical UniversityRussian Federation20141501201817316668Copyright © Яицкий Н.А., Зверев О.Г., Волков А.Б., Войнов А.В., Абдулрагимов Р.И., 20182018Яицкий Н.А., Зверев О.Г., Волков А.Б., Войнов А.В., Абдулрагимов Р.И.Yaitsky N.A., Zverev O.G., Volkov A.B., Voinov A.V., Abdulragimov R.I.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.vestnik-grekova.ru/jour/article/view/482

The authors analyzed a condition of coronary collateral circulation in infarction-related artery in patients with acute myocardial infarction with rise and without rise of ST segment. The assessment of collateral circulation was made by coronary angiography using Rentop scale. Results of the research showed, that collateral circulation wasn’t visualized by angiography in the first hours after acute myocardial infarction with the rise of ST segment. Apparently, this circulation didn’t significantly assisted in maintenance of vital capacity of the myocardium in the pool of infarction-related occlusive coronary artery. Visualization of collateral circulation was noted in majority of patients with acute myocardial infarction without the rise of ST segment. Collateral flow was an important alternative source of blood supply of the heart in patients without rise of ST segment in the period of critical reduction of the antegrade blood flow.

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