Multivessel Coronary Artery Disease in Patients with Atherosclerotic Vascular Disease

INTRODUCTION. Recent studies have shown that the appearance of multivessel coronary artery disease in acute coronary syndrome patients, as a manifestation of atherosclerotic arterial disease, is common in clinical practice, and these patients are at higher risk of subsequent acute cardiovascular events. AIM. To analyze multi-vessel lesions of the coronary arteries in patients with atherosclerotic vascular lesions. MATERIALS AND METHODS. Among the examined patients were 43 patients who underwent coronary artery stenting and 16 patients who did not undergo stenting after acute coronary syndrome. RESULTS AND DISCUSSION. The main indicators characterizing the development of risk in all examined patients varied widely, but on average were at an unsatisfactory level. In stented patients, the body mass index was 27.74+/-4.45 kg m2. While in non-stented patients, the body mass index was 26.5+/-2.93 kg m2. At the same time, the blood glucose level in stented patients was slightly lower than in non-stented patients - 6.73 +/- 1.97 kg m2 and 8.88 +/- 6.14 kg m2. Low risk according to the Score 0-22 % scale was recorded in 18 examined patients, mainly stented. Average risk from 22 to 32 according to the Score scale was detected in 7 patients, also mainly in patients with stenting. And high risk, that is, above 32, was detected in 3 patients. A correlation was found between the blood glucose level and the age of patients, blood creatinine, interventricular septum, an inverse correlation with the glomerular filtration rate degree of stenosis of the left coronary artery and an inverse correlation between the number of stenotic coronary arteries with a high degree (more than 70%) of stenosis. CONCLUCION. Coronary artery disease in patients with arterial atherosclerosis is characterized mainly by multivessel stenosis including narrowing of the coronary arteries by more than 70%, which is especially present in stented patients. The most pronounced stenosis was observed in the right coronary artery, left coronary artery and anterior interventricular branch. At the same time, the blood glucose level reliably reflects stenosis of the right coronary artery and the thickness of the interventricular septum.