METHOD TO CHOOSE THE APPROACH OF SURGICAL TREATMENT OF PATIENTS WITH CORONARY HEART DISEASE WITH MODERATE ISCHEMIC MITRAL INSUFFICIENCY

The invention relates to medicine, namely to cardiac surgery and cardiology and can be used to select the approach of surgical treatment of patients with coronary heart disease with moderate ischemic mitral insufficiency. In accordance with the invention, the method is described for choosing the surgical treatment approach for patients with coronary heart disease with moderate ischemic mitral insufficiency, which is in the fact that a patient undergoes an echocardiographic examination in the pre-surgery period, in which the pronouncement of functional ischemic mitral insufficiency is quantified, profound systolic left ventricular myocardial dysfunction is confirmed or rejected, and then the value of the indicator of global longitudinal myocardial deformation at rest according to speckle-tracking echocardiography and a patient with profound systolic dysfunction of the left ventricle additionally passes the stress echocardiography with dobutamine, then at the level of global longitudinal myocardial deformation at rest according to speckle-tracking echocardiography - 10.5% and less, and with positive stress echocardiography, the patient is prescribed to pass isolated myocardial revascularization or, at the level of global longitudinal myocardial deformation at rest according speckle-tracking echocardiography exceeding 10.5%, and with negative stress echocardiography, the patient is prescribed to pass an operation of aorto-coronary shunting in conjunction with annuloplasty of the mitral valve. Using the method in accordance with the invention improves the accuracy of choosing treatment approach for patients with coronary artery disease with moderate ischemic mitral insufficiency, which allows determining the optimal method of treatment for a patient before treatment, instead of adjusting it during treatment. Изобретение относится к медицине, а именно к кардиохирургии и кардиологии, и может быть использовано для выбора тактики хирургического лечения пациентов с ишемической болезнью сердца с умеренной ишемической митральной недостаточностью. В соответствии с изобретением описывается способ выбора тактики хирургического лечения пациентов с ишемической болезнью сердца с умеренной ишемической митральной недостаточностью, который заключается в том, что пациенту в предоперационном периоде проводят эхокардиографическое исследование, при котором определяют количественным способом выраженность функциональной ишемической митральной недостаточности, подтверждают или откло