.

Вплив різноманітних варіантів терапії гострого інфаркту міокарда на короткочасний та довгочасний прогноз захворювання: Автореф. дис… канд. мед. наук

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OA?EIANUeEEE AeA?AEAAIEE IAAeE*IEE OIIAA?NEOAO

EAUAIEI Ieaenaiae? Aioaeieiae/

OAeE 616.127 — 005.8 — 08 — 037

AIEEA ?ICIIIAIIOIEO AA?IAIOIA OA?AII?

AINO?IAI IIOA?EOO IIIEA?AeA

IA EI?IOEI*ANIEE OA AeIAAI*ANIEE

I?IAIIC CAOAI?THAAIIss

14.01.11 — ea?aeiieiaiy

Aaoi?aoa?ao

aeena?oaoei? ia caeiaoooy iaoeiaiai nooiaiy

eaiaeeaeaoa iaaee/ieo iaoe

Oa?e?a — 1999

Aeena?oaoei?th ? ?oeiien

?iaioa aeeiiaia a Iinoeoooi oa?aii? AII Oe?a?ie, i.Oa?eia

Iaoeiaee ea?iaiee:

aeaaeaiie IAI, AII Oe?a?ie aeieoi? iaaee/ieo iaoe,

i?ioani? Iaea Ethaia O?ioeiiaia,

Iinoeooo oa?aii? AII Oe?a?ie, i.Oa?eia, aee?aeoi?

Ioioeieii iiiiaioe:

aeieoi? iaaee/ieo iaoe, i?ioani? Iieiiia Aaaeei Aieiaeeie?iae/,
Oa?eianueea iaaee/ia aeaaeaiiy iineyaeeieiiii? inaioe, caaiaeoaa/
eaoaae?e oaeaeei? oa iaaiaeeeaaeii? aeiiiiiae

aeieoi? iaaee/ieo iaoe, i?ioani? ?a/einueeee Iaai Aeaieeiae/, Noinueeee
aea?aeaaiee oiiaa?neoao, iaaee/iee oaeoeueoao, caaiaeoaa/ eaoaae?e
i?iiaaeaaoeee aioo?ioiio oai?ia

I?iaiaeia onoaiiaa:

Iinoeooo ea?aeiieiai? ii. aeaae. I.Ae.No?aaeanea AII Oe?a?ie, aiaeaeie
aino?iai iioa?eoo iiiea?aea oa aiaeiiaethaaeueiiai eieoaaiiy, i.Ee?a

Caoeno aeena?oaoei? aiaeaoaeaoueny 9 aa?aniy 1999 ?. i 12.30 ia
caniaeaiii niaoeiaeiciaaii? a/aii? ?aaee Ae 64.600.04 i?e Oa?eianueeiio
aea?aeaaiiio iaaee/iiio oiiaa?neoaoi (310022. i.Oa?eia. i?. Eaiiia, 4).

C aeena?oaoei?th iiaeia iciaeiieoenue o aiaeiioaoei Oa?eianueeiai
aea?aeaaiiai iaaee/iiai oiiaa?neoaoo (310022. i.Oa?eia. i?.Eaiiia,4).

Aaoi?aoa?ao ?icineaiee “ 19 ” eeiiy 1999 ?.

A/aiee nae?aoa?

niaoeiaeiciaaii? a/aii? ?aaee,

aeioeaio, e.i.i. Ia/a?aiei E.I.

CAAAEUeIA OA?AEOA?ENOEEA ?IAIOE

Aeooaeueiinoue oaie. Iniaeeaa iinoea na?aae caoai?thaaiue
na?oeaai-noaeeiii? nenoaie iaeaaeeoue aino?iio iioa?eoo iiiea?aea (AII)
(Iaea E.O.,1992). Oea caa?iceeaa aeey aeeooy o?aaeaiiy na?oeaaiai i’yca
cia/iith ii?ith aecia/a? caaaeueio nia?oiinoue aiae na?oeaai-noaeeiieo
caoai?thaaiue (Aiiniaa E.I., 1998). sse naiae/aoue iaoa?iaee ?aaino?o
AII oa ?acoeueoaoe aaaaoueio eeiiiei-aiiaeaiiieiai/ieo aeineiaeaeaiue
(Aaoa?ia A.A., 1988, Eaiaaee ?.A.I., 1997), i?enay/aieo oeie i?iaeaii,
/anoioa ?aioiaeo nia?oae, caaaeueia eaoaeueiinoue ia aeiainiioaeueiiio
oa noaoeiiia?iiio aoaiao eieoaaiiy caeeoathoueny ua aeinoaoiuei
aenieeie.

Inoaiiiie ?ieaie aeinyaiooi inoioiiai i?ia?ano a eieoaaiii oeueiai
caoai?thaaiiy. Ai?iaaaeaeaiiy a eeiii/io i?aeoeeo aeieia ?aaiiiaoei? oa
iioaineaii? oa?aii? aeicaieeei cieceoe ainiioaeueio e?oaeueiinoue oai?eo
ia AII aei 18-20%, ianaiia?aae, caaaeyee iiiioi?iiio iaaeyaeo i
nai?/aniiio aeyaeaiith oa eieoaaiith oeoii/eiaeo a?eoiie aenieeo
a?aaeaoeie.

Oe?iea canoinoaaiiy eieia, yei caaacia/othoue aaiiaeeiaii/ia
?icaaioaaeaiiy iiiea?aea i cieaeaiiy iio?aae na?oeaaiai i’yca o eenii
(iio?aoe, aaoa-aae?aiiaeieaoi?e) (A?aoiaaeueae ?., 1995), a oaeiae
iiia?aaeaeothoue ?aoeeaeeaoth/i oa iiaoi?ii iioa?eoe (anii?ei),
i?ia?anoaaiiy na?oeaai? iaaeinoaoiinoi (iiaiaioi?e
aiaiioaiceiia?aoai?thth/iai oa?iaioo) oaae ni?eyei nooo?aiio ciaioaiith
ainiioaeueii? eaoaeueiinoi, aeicaieeei aeiaanoe ?i/io nia?oiinoue oai?eo
ia aino?ee iioa?eo iiiea?aea aei 15%.

Aaaaoioeaio?iai eeiii/ii aeineiaeaeaiiy (ISIS, 1988, GISSI, 1986, 1990
oa ii.) ia?aeiieeai aeiaaee, ui aieiaiei iai?yieii eieoaaeueii?
no?aoaai? o oai?eo ia AII iiaeiii aooe oe?iea i yeiiiaa oaeaeoa
i?ecia/aiiy i?aia?aoia, yei a iaiaaeeee ?icii?e ciie iae?ico oa
aiaeiiaeee ii?iaeueiee ei?iia?iee e?iaiiaia (o?iiaieioe/ii caniae)
(Aa?oaanueeee N.TH., 1995).

Iacaaaeath/e ia oa, ui aeei?enoaiiy ia?a?aoiaaieo aeua iaaeeeaiaioicieo
caniaia i?ecaaei aei iiaeaeueoiai cieaeaiiy eaoaeueiinoi na?aae oai?eo
ia aino?ee iioa?eo iiiea?aea (Aiiniaa E.I., 1998), ?iaaiue ?? a iaoie
e?a?ii caeeoa?oueny aeinoaoiuei aenieei.

Oiio iiaeaeueoa iiaeaeuaiiy aoaeoeaiinoi iaaeaiiy oa?aiaaoe/ii?
aeiiiiiae oai?ei ia AII ia? ye iaoeiaee, oae i i?aeoe/iee nain. ?ic?iaea
noai iaaeeeaiaioicii? oa?aii?, yei a?aoiaothoue iiaeeaiaeoaeueii
iniaeeainoi ia?aaiao caoai?thaaiiy, ? iaeiei ic oeyoia ae?ioaiiy oei??
i?iaeaie.

Aeei?enoaiiy iiaeaeae i?iaiico caoai?thaaiiy c iaoith ioeiiee noaio
oai?eo oa i?ecia/aiiy aaeaeaaoii? oa?aii? ? nooo?aith aeiiiiiaith o
?ica’ycaiii oeueiai ieoaiiy (Aeia?o Aeae., 1994, Lee K.L., 1995, Arnold
A.E.R., 1997). Aieueoinoue c aeai?eoiia i?iaiicoaaiiy ia?aaiao oa
aeoiaeo aino?iai iioa?eoo iiiea?aea, yei aoei ?ic?iaeaii ?aiioa, iaee
iaaeieiee, ui iaiaaeoaaei iiaeeeainoi ?o eeiii/iiai aeei?enoaiiy (Peel
et al., 1962, Nirris et al., 1969). Oiio iiaeaeueoa oaeineiiaeaiiy
nenoai i?iaiicoaaiiy ia?aaiao oa aeoiaeo aino?iai iioa?eoo iiiea?aea, ui
aeiiiiaaathoue ioeiieoe noai oai?iai, i?ecia/eoe eiio aaeaeaaoio
iiaeeaiaeoaeueio oa?aiith, ia ao?a/a? nai?? aeooaeueiinoi, ui i noaei
i?aaeiaoii aeaiiai aeineiaeaeaiiy.

Ca’ycie ?iaioe c iaoeiaeie i?ia?aiaie, ieaiaie, oaiaie. Ia?aiee iai?yiie
aeineiaeaeaiue iia’ycaiee c iaoeiaith aeiyeueiinoth caeeaaeo oa
aoiaeeoue aei oaiaoe/iiai ieaio Iinoeoooo oa?aii? AII Oe?a?ie, ye
o?aaiaio IAe?: “Aea/aiiy iaoiaaiaoe/ieo iaoaiiciia ?aia?ooci? oa
?ic?iaea iiaeo iaoiaeia ?aia?ooc?eii? oa?aii? aino?iai iioa?eoo
iiiea?aea” — ?aa. ?0197U008304. “Iae?iaoii?aeueii aoaeoe iiaiaioi?ia
aiaiioaiceiia?aoai?thth/iai oa?iaioo oa ?o aieea ia ciio iioeiaeaeaiiy o
oai?eo ia aino?ee iioa?eo iiiea?aea” — ?aa. ?0196U001358.

Iaoa i caaea/i aeineiaeaeaiiy. Iaoith ?iaioe ? iiaeaeuaiiy aoaeoeaiinoi
iaaeaiiy oa?aiaaoe/ii? aeiiiiiae oai?ei ia aino?ee iioa?eo iiiea?aea
caaaeyee ?ic?iaoei noai iaaeeeaiaioicii? oa?aii? caoai?thaaiiy, yei
iaeneiaeueii a?aoiaothoue iiaeeaiaeoaeueii iniaeeainoi ia?aaiao AII o
eiie?aoiiai oai?iai, iioe?aiiy aeei?enoaiiy ?acoeueoaoia iaoaiaoe/iiai
i?iaiicoaaiiy aeey ae?ioaiiy ieoaiue eieoaaiiy oa i?ioieaeoeee iioa?eoo
iiiea?aea.

Aeey aeinyaiaiiy oei?? iaoe aoei iinoaaeaii ianooiii caaea/i:

aea/eoe iniaeeainoi ia?aaiao aino?iai iioa?eoo iiiea?aea o 90-oi ?iee a
ii?iaiyiii c 80-ie ia i?eeeaaei iiioeyoei?, yeo aoei ianoaaeaii;

anoaiiaeoe iioi?iaoeaiinoue ?yaeo eeiii/ieo, iino?oiaioaeueieo oa
aeaiia?aoi/ieo iieacieeia o ieaii aecia/aiiy ei?ioei- oa
aeiaaino?ieiaiai i?iaiico aeoiaeo caoai?thaaiiy;

noai?eoe i?iaiinoe/ii iiaeaei, ui aeathoue ciiao ia aaci aeaieo, yei
io?eiaii i?e ia’?eoeaiiio iaeyaei oai?iai oa aeeiiaiii iino?oiaioaeueieo
aeineiaeaeaiue i?ioyaii ia?oi? aeiae caoai?thaaiiy oa a aeeiaiioei
ia?aaoaaiiy iaoei?ioa a noaoeiiia?i, aecia/eoe ei?ioei/aniee oa
aiaeaeaeaiee i?iaiic AII;

?ic?iaeoe noaie iaaeeeaiaioicii? oa?aii? caoai?thaaiiy, ui iaeneiaeueii
a?aoiaothoue iiaeeaiaeoaeueii iniaeeainoi ia?aaiao AII o oai?eo;

noai?eoe i?ia?aiia caaacia/aiiy, yea a aeiiiiaaaei eiea?aai i?e
?ic?iaoei, i?iaaaeaiii oa ei?aeoei? oa?aii? oai?eo ia AII.

Iaoeiaa iiaecia iaea?aeaieo ?acoeueoaoia. Aea/aii i?iaiinoe/ia cia/aiiy
eeiiiei-aiaiianoe/ieo oa iino?oiaioaeueieo iieacieeia, yei oe?iei
aecia/athoueny, c o?aooaaiiyi iniaeeainoae ia?aaiao aino?iai iioa?eoo
iiiea?aea, yei c’yaeeeny i?ioyaii inoaiiio ?ieia. Cai?iiiiiaaii
i?iaiinoe/ii eiaoioei?ioe — eiiieaenii iieacieee, yei aeathoue ciiao
noaeeoe i?i iiaeeeaee aeoiae caoai?thaaiiy. ?ic?iaeaii aeai?eoie
i?iaiicoaaiiy ei?ioei- oa aeiaaino?ieiaiai aeoiaeo aino?iai iioa?eoo
iiiea?aea oa ia iiaenoaai io?eiaieo ca ?o aeiiiiiaith ?acoeueoaoia —
noaie iaaeeeaiaioicii? oa?aii? caoai?thaaiiy, yei a?aoiaothoue
iiaeeaiaeoaeueii iniaeeainoi ia?aaiao AII. Iieacaii iiaeeeainoue
cieaeaiiy ainiioaeueii? i aiaeaeaeaii? eaoaeueiinoi oa iieacieea
“oneeaaeiaiee ia?aaia caoai?thaaiiy” caaaeyee aeei?enoaiith
cai?iiiiiaaieo i?iaiinoe/ieo aeai?eoiia oa noai eieoaaiiy

Iieacaii iiaeeeainoi aeei?enoaiiy iaoiaeeee ei?aeyoeieiiai aiaeico c
iaoith ioeiiee aca?iica’yceia yeinieo iieacieeia aiaeiiaiaeii aei
ae?ioaiiy caaea/ eeiii/iiai i?iaiicoaaiiy.

I?aeoe/ia cia/aiiy iaea?aeaieo ?acoeueoaoia. I?aeoe/ia cia/aiiy ?iaioe
iieyaa? a oiio, ui aoei ?ic?iaeaii noaie iaaeeeaiaioicii? oa?aii?
aino?iai iioa?eoo iiiea?aea, yei iaeneiaeueii a?aoiaothoue
iiaeeaiaeoaeueii iniaeeainoi ia?aaiao caoai?thaaiiy o eiie?aoiiai
oai?iai.

Iieacaii iiaeeeainoue aeei?enoaiiy aeey ae?ioaiiy oei?? caaea/i
aeai?eoiia iaoaiaoe/iiai i?iaiicoaaiiy aeoiaeo caoai?thaaiiy, yei
iiaoaeiaaii ia iieacieeao, ui aecia/athoueny iiae /an i?eaoooy oai?iai
aei eieoaaeueiiai caeeaaeo oa a aeeiaiioei ainiioaeueiiai ia?iiaeo
caoai?thaaiiy.

Ca iaoa?iaeaie aeena?oaoeieii? ?iaioe aoei ?ic?iaeaii i?ia?aiia
caaacia/aiiy, yea aeiiiiaaa? eiea?th ioeiieoe noai oai?iai, ia?aoe
aiaeiiaiaeio aei iueiai noaio iaaeeeaiaioicii? oa?aii?, nai?/anii ??
ei?aaoaaoe.

?acoeueoaoe i?iaaaeaiiai aeineiaeaeaiiy ai?iaaaeaeaii o i?aeoe/io
aeiyeueiinoue eieoaaeueieo oa i?ioieaeoe/ieo caeeaaeia IIC Oe?a?ie.
Aeai?eoie i?iaiicoaaiiy aeoiaeo AII o oi?ii i?ia?aiiiai caaacia/aiiy oa
?aeiiaiaeaoeie uiaei ?ic?iaee noai iaaeeeaiaioiciiai eieoaaiiy i
aoi?eiii? i?ioieaeoeee caoai?thaaiiy — “Cania i?iaiicoaaiiy
ei?ioei/aniiai aeoiaeo iioa?eoo iiiea?aea oa eieoaaiiy o aino?iio
ia?iiaei caoai?thaaiiy” oa “Cania aeiaaino?ieiaiai i?iaiicoaaiiy oa
i?ioieaeoeee aino?iai iioa?eoo iiiea?aea” — aeei?enoiaothoueny o
i?aeoe/iie aeiyeueiinoi eeiiiee Iinoeoooo oa?aii? AII Oe?a?ie,
iaaee/ii-naiioa?ieo /anoei ?2 oa ?7 i. Oa?eiaa, ui aeicaieeei cieceoe
eaoaeueiinoue oa eiaeei-aeaiue a icia/aieo eieoaaeueieo caeeaaeao.
“Cania aeiaaino?ieiaiai i?iaiicoaaiiy oa i?ioieaeoeee aino?iai iioa?eoo
iiiea?aea” — o ?iaioi iinueei? iieieeiiiee ?6 oa iieieeiii/iiai
aiaeaeieaiiy aiaeaeieeiai? eiea?ii caeicie/ii? noaioei? Iniiaa
Iiaaeaiii? caeicieoei, ui aeaei ciiao nei?ioeoe no?iee oei/aniai?
iai?aoeacaeaoiinoi oai?eo ia AII oa ciaioeoe /anoioo ?icaeoeo
oneeaaeiaiue o aiaeaeaeaiiio iineyiioa?eoiiio ia?iiaei.

Iniaenoee aianie caeiaoaa/a. Aeena?oaio naiinoieii caeienithaaa aiaeai?
oaiaoe/ieo oai?eo ia AII, ?o ianoaaeaiiy c aeei?enoaiiyi
eeiiiei-iino?oiaioaeueieo iaoiaeia, iiaeai? aeeoa?aioeieiaaii? oa?aii?
oa eiio?ieue ca aoaeoeaiinoth eieoaaiiy. Caeienithaaa iao?iiaae oai?eo
iiney ?o aeoiaeo c eieoaaeueiiai caeeaaeo. Naiinoieii canoiniaoaaa oaei
iaoiaee aeineiaeaeaiue, ye aeaeo?ia?ao?y oa aoiea?aeiia?aoiy. Aaoi?
iniaenoi aecia/ea iaoo oa ieaioaaa caaea/? aeineiaeaeaiiy, i?iaiaeea
aiaeic oa iaoaiaoe/io ia?iaeo io?eiaieo ?acoeueoaoia c aeei?enoaiiyi
aeaeo?iiii-ia/enethaaeueii? oaoiiee, ioi?iea aeena?oaoeieio ?iaioo.

Ai?iaaoeiy ?iaioe. Iaoa?iaee aeena?oaoei? caneooiaoaaeenue oa
iaaiai?thaaeenue ia iaoeiai-i?aeoe/ieo eiioa?aioeiyo Iinoeoooo oa?aii?
AII Oe?a?ie (1996-1998), ?anioaeieainueeie iaoeiai-i?aeoe/iie
eiioa?aioei? iieiaeeo a/aieo oa oaoiaoeia “No/anii ooiaeaiaioaeueii oa
i?eeeaaeii i?iaeaie a eeiiioei aioo?ioiio oai?ia” (Oa?eia,1997),
caniaeaiiyo Oa?eianueeiai iaaee/iiai oiaa?enoaa. Iieiaeaiiy aeena?oaoei?
aoei i?aaenoaaeaii ia XIV c’?caei oa?aiaaoia Oe?a?ie (Ee?a, 1998).

Ioaeieaoei?. Ca oaiith aeena?oaoeieii? ?iaioe iioaeieiaaii 10
ae?oeiaaieo ?iaio, c ieo 4 — o iaoeiaeo aeo?iaeao, 2 — ca naiino?eiei
aaoi?noaii, 4 — o ca??eao iaoeiaeo i?aoeue, 2 — o iaoa??aeao iaoeiaeo
eiioa?aioe?e oa c’?cae?a .

No?oeoo?a oa ianya aeena?oaoei?. Aeena?oaoeieia ?iaioa aeeeaaeaia ia 239
noi?iieao iaoeiiieniiai oaenoo i neeaaea?oueny ic anooio, 3-o ?icaeieia,
ui iinoyoue iaeyae eioa?aoo?e, aeanii niinoa?aaeaiiy, iaaiai?aiiy
io?eiaieo ?acoeueoaoia, a oaeiae aeniiaeia, i?aeoe/ieo ?aeiiaiaeaoeie,
nieneo aeei?enoaieo aeaea?ae. Aiaeiia?aoi/iee iieaae/ee, ianya yeiai
neeaaea? 37 noi?iiie, iinoeoue 288 aeaea?ae, c ieo 142 — oe?a?inueeith
oa ?inienueeith iiaaie, 146 ca?oaiaeieo aeaea?ae. ?iaioa iethno?iaaia 14
?enoieaie ianyaii 14 noi?iiie oa 32 oaaeeoeyie ianyaii 26 noi?iiie.

CIINO ?IAIOE

Iaoa?iaee i iaoiaee aeineiaeaeaiiy. Aoei i?iaiaeiciaaii inoi?i? oai?iae
653 oai?eo ia aino?ee iioa?eo iiiea?aea (aaciina?aaeiuei ianoaaeaii 132
oai?eo), yei eieoaaeeny o niaoeiaeiciaaieo ea?aeiieiai/ieo aiaeaeieaiiyo
i.Oa?eiaa a 1981-1985 ?ieao oa 1994-1996 ?ieao. Aieiaieie e?eoa?iyie
aeeth/aiiy oai?eo o aeineiaeaeaiiy aoee: iiaeoaa?aeaeaiee aeiaaiic
aino?iai iioa?eoo iiiea?aea oa ainiioaeicaoeiy i?ioyaii ia?oeo 24 aiaeei
aiae ii/aoeo caoai?thaaiiy.

Na?aae oai?eo aoei 515 /ieiaieia (78,9%) i 138 aeiiie (21,1%) o aioei
aiae 36 aei 81 ?ieo. Na?aaeiie aie ianoaaeaieo noaiiaea 60±9,9 ?ieia,
na?aaeiie /an aiae ii/aoeo aieae aei ainiioaeicaoei? o niaoeiaeiciaaiee
iaaee/iee caeeaae 7,6±6,3 a. Aino?ee iioa?eo iiiea?aea ia?aianee 153
oai?eo (23,5%), aiia?oiii/iith oai?iaith no?aaeaeaee 210 iaoei?ioia
(32,2%), noiooiie oeoe?iaee aeiaaao aoei aeyaeaii o 60 oai?eo (9,2%).
Eaoaeueiinoue o noaoeiiia?i neeaea 13,2%, i?ioyaii 1-ai ?ieo 19,2%.

Aiaeiiaiaeii aei iaoe aeineiaeaeaiiy oai?eo aoei iiaeieaii ia a?oie:
iniiaio oa eiio?ieueio. Iniiaio a?oio neeaa 471 oai?ee. Na?aae ieo aoei
373 /ieiaieia (78,2%) i 98 aeiiie (21,9%). Na?aaeiie aie ianoaaeaieo
noaiiaea 59±10,8 ?ieia, na?aaeiie /an aiae ii/aoeo aieae aei
ainiioaeicaoei? o niaoeiaeiciaaiee iaaee/iee caeeaae 7,2±5,7 a. Aino?ee
iioa?eo iiiea?aea ia?aianee 100 oai?eo (21,3%), aiia?oiii/iith oai?iaith
no?aaeaeaee 138 iaoei?ioia (29,4%), noiooiie oeoe?iaee aeiaaao aoei
aeyaeaii o 39 oai?eo (8,3%). Eaoaeueiinoue o noaoeiiia?i neeaea 11,46%,
i?ioyaii 1-ai ?ieo 18,5%.

Eiio?ieueio a?oio neeaei 182 iaoei?ioa. Na?aae ieo aoei 142 /ieiaie?a
(78,0%) i 40 aeiiie (22,0%). Na?aaeiie aie ianoaaeaieo noaiiaea 61±7,2
?iee, na?aaeiie /an aiae ii/aoeo aieae aei ainiioaeicaoei? o
niaoeiaeiciaaiee iaaee/iee caeeaae 8,6±7,4 a. Aino?ee iioa?eo iiiea?aea
ia?aianee 53 oai?eo (29,1%), aiia?oiii/iith oai?iaith no?aaeaeaee 72
iaoei?ioa (40,0%), noiooiie oeoe?iaee aeiaaao aoei aeyaeaii o 21 oai?iai
(11,5%). Eaoaeueiinoue o noaoeiiia?i neeaea 17,03%, i?ioyaii 1-ai ?ieo
21,4%.

Ia?aaia noaoeiiia?iiai ia?iiaeo caoai?thaaiiy aoei oneeaaeiaii ?icaeoeii
?aoeeaeeaia aiaiiiciiai aieth o 202 (42,9%) oa 120 (65,9%), ?aoeeaeeaia
AII 34 (7,2%) oa 30 (16,5%), eeiii/ieo i?iyaia aino?i? eiaioeoii/eiai?
iaaeinoaoiinoi (iaa?ye eaaaiia) 26 (5,5%) oa 21 (11,5%) oai?eo ca
a?oiaie aiaeiiaiaeii.

Ianoaaeaiiy oai?eo ia?aaeaa/aei i?iaaaeaiiy caaaeueiieeiii/iiai
ianoaaeaiiy c aeii?ii ia?aiao?ia aaiiaeeiaiiee (a?oa?iaeueiee oene,
/anoioa na?oeaaeo nei?i/aiue), ?a?no?aoeith AEA ca noaiaea?oiith
iaoiaeeeith. Ioeiieo nei?ioeeai? iiaeeeainoi iiiea?aeo i?iaiaeeee ca
aeiiiiiaith aoiea?aeiia?aoi/iiai aeineiaeaeaiiy, yea aeeiioaaee ia 10
aeiao caoai?thaaiiy ia aia?aoi “Ultrasound scanner” iiaeaei OI 628-A ca
noaiaea?oiith iaoiaeeeith. Aecia/aee oaei iieacieee, ye eiioeaaee
aeianoiei/iee ?icii? (EAe?) oa o?aeoeith aeeeaeo (OA) eiaiai oeoii/ea.

Aiaeiiaiaeii aei iaoe aeineiaeaeaiiy aeaeieyeiny aeaa aa?iaioe oa?aii?
AII: “aaciaa”, ui ia?aaeaa/aea i?ecia/aiiy iio?aoia oa aaia?eio o
oa?aiaaoe/ieo aeicao ca caaaeueiii?eeiyoeie iaoiaeeeaie, oa
“eiiaiiiaaia”, ui ia?aaeaa/aea aeiaeaoeiaa i?ecia/aiiy ia oiii “aaciai?”
oa?aii? o?iiaieioe/ieo i?aia?aoia (i?aia?ao “No?aioaca” o aeici 1,5 iei.
IAe aioo?ioiueiaaiii e?aiaeueii i?ioyaii 1 aiaeeie), anii?eio 125 ia ia
aeiao, aaoa-aae?aiiaeieaoi?ia (aoaiieie 25-50 ia ia aeiao) oa
iiaiaioi?ia aiaiioaiceiia?aoai?thth/iai oa?iaioo (aiai 5-10 ia ia
aeiao). Aeey ioeiiee aoaeoeaiinoi i?iaaaeaii? oa?aii? aecia/aeeny oaei
iieacieee, ye eaoaeueiinoue oa “oneeaaeiaiee ia?aaia caoai?thaaiiy”
(aiaeiiaiaeii aei e?eoa?i?a E.Brounwald et al., 1993), /anoioa
aeieeiaiiy iiaoi?iiai AII oa noaiiea?aei? iai?oaeaiiy.

C iaoith i?iaiicoaaiiy aeoiaeo caoai?thaaiiy aoei aeei?enoaii
ei?aeyoeieiee aiaeic c ia/eneaiiyi oao?aoi?i/iiai eiaoioei?ioa ca’yceo,
ui aeaei ciiao anoaiiaeoe iayaiinoue oa neeo ca’yceo iiae iieacieeaie,
ui aea/aeeny, oa ?aa?anieiee aiaeic, yeee aeaa ciiao aeyaeoe iaeaieueo
iioi?iaoeaii a i?iaiinoe/iiio aiaeiioaiii iieacieee, ui neeaee aeai?eoie
aecia/aiiy ei?ioei- oa aeiaaino?ieiaiai aeoiaeo caoai?thaaiiy. Ani
?acoeueoaoe aeineiaeaeaiiy aoei ia?iaeaii ca aeiiiiiaith iaoiaeo
aa?iaoeieii? noaoenoeee ia ia?niiaeueiiio eiii’thoa?i c ia/eneaiiyi
e?eoa?ith ai?iaiaeiinoi t, cia/aiiy ai?iaiaeiinoi p. Aiaeiiiiinoi iiae
iieacieeaie, ui ii?iaithaaeeny, aeciaaaeenue ai?iaiaeieie, yeui cia/aiiy
iiiai?iinoi aoei aieueoei aai ?iaiei 95% (pOaaeeoey 1. Aieiaii iia?aoeieii oa?aeoa?enoeee i?iaiinoe/ieo nenoai, ui ii?iaiththoueny. Nenoaie i?iaiico Se (%) Sp (%) d (%) V (%) PVP (%) Peel. 68 63 67,4 31 92 Norris 67 63 67,1 30 91,8 IE 79 59 75 38 92 I?eiioea. Sa - /ooeeainoue, Sp - niaoeeoi/iinoue, d - ai?iaiaeiinoue, V - aaeiaeiinoue, pVP - i?iaiinoe/iinoue iiceoeaiiai ?acoeueoaoo. Ia aaci ia/eneaiiy /enaeueieo cia/aiue iiaeeaiaeoaeueieo i?iaiinoe/ieo eiaoioei?ioia iaoei?ioia aoei iiaeieaii ia a?oie ic ni?eyoeeaei oa iani?eyoeeaei ei?ioeino?ieiaei i aiaeaeaeaiei aeoiaeii caoai?thaaiiy. Naia a oeeo a?oiao ?icaeyiooi eeiii/io aoaeoeaiinoue cai?iiiiiaaieo noai iaaeeeaiaioicii? oa?aii? oa i?ioieaeoeee AII. sse naiae/aoue iaaaaeaii a oaae. 2 oa oaae. 3 aeaii i?e ni?eyoeeaiio i?iaiici caoai?thaaiiy aoaeoeaia i?ecia/aiiy eiiaiiaoei? o?iiaieioeeia, anii?eio oa aaoa-aae?aiiaeieaoi?ia ia oiii “aaciai?” oa?aii?, a i?e iani?eyoeeaiio — o?iiaieioeeia oa iiaiaioi?ia aiaiioaiceiia?aoai?thth/iai oa?iaioo ia oiii “aaciai?” oa?aii?. Oaaeeoey 2. Aieea oa?aii? aino?iai iioa?eoo iiiea?aea ia ei?ioei/aniee i?iaiic caoai?thaaiiy. Iieaciee Ni?eyoeeaee i?iaiic Iani?eyoeeaee i?iaiic I-A n=165 I-A n=120 I-A n=80 I-A n=109 II-A n=80 II-A n=56 II-A n=43 ?aoeeaeea A?I 15,2% 7,5% * 6,25% * 0 * 15,0% 7,1% 11,6% ?aoeeaeea aieae 55% 48,3% 47,5% 42,3% * 56,3% 50% 48,8% Oneeaaeiaiee ia?aa?a A?I 66,6% 46,6% * 48,8% * 40,3% * 71,3% 53,6% * 53,5% * Eaoaeuei?noue 10,3% 8,3% 7,5% 6,4% 28,7% 25,0% 18,6% I?eiioee: * — Ai?iaiaeiinoue aiaeiiiiinoi iieacieeia iiae “aaciaith” oa “eiiaiiiaaiith” oa?aii?th: pAENIIAEE Iniaeeainoi ia?aaiao aino?iai iioa?eoo iiiea?aea i?ioyaii 90-o ?ieia aecia/aeeny iiaeaeueoei c?inoaiiyi na?aae oai?eo /anoee inia iieiaeoeo 60 ?ieia (36,9% i?ioe 50,5%, pNEI?I*AIIss AO neno. — ?iaaiue nenoiei/iiai a?oa?iaeueiiai oeneo AO aeiano. — ?iaaiue aeianoiei/iiai a?oa?iaeueiiai oeneo AII — aino?ee iioa?eo iiiea?aea AII ?aoe. — ?aoeeaeea aino?iai iioa?eoa iiiea?aeo AII ai. — iiia?aaeiie aino?ee iioa?eo iiiea?aea AEA — aeaeo?iea?aeiia?aia EAe? — eiioeaaee aeianoiei/iee ?icii? IAe? — iaoeiai-aeineiaeia ?iaioa IE — iaaeinoaoiinoue e?iaiiaiao IE — iaa?ye eaaaiia OA — o?aeoeiy aeeeaeo OO1 — oia?eeyoei? oeoii/eia ia iiiaio ainiioaeicaoei? OO2 — oia?eeyoei? oeoii/eia iiae /an ia?aaoaaiiy o noaoeiiia?i OeAe ai. — noiooiie oeoe?iaee aeiaaao *NN — /anoioa na?oeaaeo nei?i/aiue A-V aeie. — ao?ii-aaio?eeoey?ia aeieaaea d — ai?iaiaeiinoue pVP — i?iaiinoe/iinoue iiceoeaiiai ?acoeueoaoo Sa — /ooeeainoue Sp — niaoeeoi/iinoue r — eiao?oe??io ei?aeyoe?? V — aaeiaeiinoue

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