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About the clinic: I.M. Sechenov First Moscow State Medical University (Sechenov University) is the top medical university in Russia. Its history begins in 1758 as the medical faculty at Imperial Moscow University. For over two centuries Sechenov University has been a pioneer in the Russian healthcare system. A lot of outstanding physicians and scientists, who contributed significantly to the progress in medicine, worked at the University. In 2018, Sechenov University celebrates its 260th Anniversary.
About the clinic: Federal research and clinical center for specialized types of medical care and medical technologies of the FMBA of Russia (FSCC of the FMBA of Russia) is one of the largest multi — specialty medical institutions in Russia for providing specialized medical care, combining a consulting and diagnostic center and more than 40 departments.
About the clinic: Yusupovskaya hospital is a continuity of traditions in the treatment of patients in combination with the latest achievements of modern scientific and evidence-based medicine and advanced expert experience. The Yusupov hospital carries out scientific activities — on the basis of the clinic there are scientific and practical centers aimed at solving patients' problems in a comprehensive manner.
About the clinic: Clinical hospital No. 1 (Volynskaya) of The Presidential administration of the Russian Federation is one of the oldest institutions of Kremlin medicine, which itself has more than 400 years of history. In may 1600, by Decree of Tsar Boris Godunov, a pharmacy order was created to "protect the health of the sovereign". The hospital began with a small reception House adapted for a medical institution Near the dacha of I. V. Stalin.
Coronary heart disease (CHD) is a disease that reduces blood flow through the coronary arteries, which are the main source of blood supply to the heart muscle. Reduced coronary perfusion is accompanied by a sharp lack of oxygen in the areas of the myocardium that are filled with blood from the affected blood vessel. This condition is called ischemia-a disease that eventually leads to the death (necrosis) of heart tissue.
The first symptoms of coronary heart disease include the following signs:
– shortness of breath
– arrhythmia-the appearance of a rapid heartbeat, interruptions in the work of the heart muscle;
– hypertension-manifests itself in sharp jumps and an increase in blood pressure;
– angina of tension-characterized by pressure, chest pain;
– Electrocardiogram (ECG or EKG)
– Load testing
– Heart ultrasound (Echocardiography)
– Coronary angiography
– Thorax organs X-Ray
To increase the coronary blood flow in IHD, off-pump coronary artery bypass surgery is performed – an operation that allows to restore blood flow in the arteries of the heart by bypassing the place of narrowing of the coronary vessel with the help of shunts (vascular prostheses). The operation can be performed either on a working heart, or under artificial blood circulation, depending on the patient’s condition.
Percutaneous сoronary interventionis a minimally invasive procedure that dilates the coronary arteries. The procedure consists of inserting a hollow catheter equipped with a balloon into the vascular bed and into the coronary artery. The catheter advances under x-ray control. When the catheter reaches the narrowed artery, the balloon inflates. Due to the pressure of the balloon, partial destruction of atherosclerotic plaques occurs, increasing the lumen of the vessel and restoring blood flow through it. After the control images are taken, the stenting of the coronary artery is performed – a stent is inserted (a compressed spring, for which a special alloy is used). The stent is straightened in the artery, which results in the expansion of the vessel diameter and normalization of blood flow.