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В статье изложены переработанные и дополненные рекомендации (2-й пересмотр) по ведению пациентов с сопутствующей ишемической болезнью сердца (ИБС) при внесердечных операциях. Кратко освещены современные представления об эпидемиологии, патогенезе, классификации и основных принципах лечения ИБС в периоперационном периоде. Даны основные рекомендации по стратификации риска и предоперационному обследованию пациентов с сопутствующей ИБС. Представлены данные об особенностях анестезии и интраоперационного мониторинга, а также послеоперационного ведения пациентов с ИБС. Значительное внимание уделено профилактике и лечению послеоперационных осложнений, подробно изложены принципы ведения пациентов с периоперационным инфарктом миокарда. Приведены основные критерии оценки качества медицинской помощи.

Ключевые слова:

ишемическая болезнь сердца

сердечно-сосудистый риск

острый коронарный синдром

периоперационный инфаркт миокарда

кардиальные биомаркеры

инвазивный гемодинамический мониторинг

особенности анестезии при ишемической болезни сердца

профилактика сердечно-сосудистых осложнений

Авторы:

Заболотских И.Б.

ФГБОУ ВО «Кубанский государственный медицинский университет» Минздрава России;
ФГБНУ «Федеральный научно-клинический центр реаниматологии и реабилитологии» Минобрнауки России;
ГБУЗ «Краевая клиническая больница №2» Минздрава Краснодарского края

SPIN РИНЦ: 5142-1661
Scopus AuthorID: 6508104506
ResearcherID: O-2705-2014
ORCID: 0000-0002-3623-2546

Потиевская В.И.

ФГБУ «Национальный медицинский исследовательский центр радиологии» Минздрава России

ORCID: 0000-0002-2459-7273

Баутин А.Е.

ФГБУ «Национальный медицинский исследовательский центр им. В.А. Алмазова» Минздрава России

SPIN РИНЦ: 9415-7300
Scopus AuthorID: 6601992723
ORCID: 0000-0001-5031-7637

Григорьев Е.В.

ФГБОУ ВО «Кемеровский государственный медицинский университет»;
ФГБОУ ВО «Красноярский государственный медицинский университет им. проф. В.Ф. Войно-Ясенецкого» Минздрава России

ORCID: 0000-0002-3898-0740

Григорьев С.В.

ФГБОУ ВО «Кубанский государственный медицинский университет» Минздрава России

ORCID: 0000-0002-9753-7351

Грицан А.И.

ФГБОУ ВО «Красноярский государственный медицинский университет им. проф. В.Ф. Войно-Ясенецкого» Минздрава России

SPIN РИНЦ: 6373-2432
Scopus AuthorID: 57201838816
ResearcherID: M-4261-2014
ORCID: 0000-0002-0500-2887

Киров М.Ю.

ФГБОУ ВО «Северный государственный медицинский университет» Минздрава России

SPIN РИНЦ: 2025-8162
Scopus AuthorID: 7004841942
ORCID: 0000-0002-4375-3374

Кузовлев А.Н.

ФГБНУ «Федеральный научно-клинический центр реаниматологии и реабилитологии» Минобрнауки России

SPIN РИНЦ: 8648-3771
Scopus AuthorID: 35201397900
ResearcherID: F-6462-2017
ORCID: 0000-0002-5930-0118

Лебединский К.М.

ФГБНУ «Федеральный научно-клинический центр реаниматологии и реабилитологии» Минобрнауки России;
ФГБОУ ВО «Северо-Западный государственный медицинский университет им. И.И. Мечникова» Минздрава России

SPIN РИНЦ: 3590-2308
Scopus AuthorID: 6602775085
ResearcherID: O-8655-2014
ORCID: 0000-0002-5752-4812

Субботин В.В.

ГБУЗ города Москвы «Московский клинический научно-практический центр им. А.С. Логинова Департамента здравоохранения города Москвы»

ORCID: 0000-0002-0921-7199

Дата поступления:

10.07.2024

Дата принятия в печать:

29.07.2024

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