One-Year Outcomes in Patients With Coronary Heart Disease With Progressive Atherosclerosis

Вackground. Progressive atherosclerosis syndrome, in contrast to spontaneous one, is accompanied by a more severe course and frequent complications. Therefore, it is crucial to define the risk stratification criteria and treatment of such patients. Purpose of the study to study one-year outcomes in patients with coronary heart disease with progressive atherosclerosis. Patient Characterization and Research Methods. The study included 202 patients with confirmed diagnosis of CHD: 147 men and 55 women. The mean age of the patients was (53,3 ± 7,16) years. The main group (100 patients) included those who had two (or more) additional cardiovascular events from the following in the two years before the study: MI or unstable angina pectoris, emergency artery stenting, stroke, peripheral artery thrombosis, critical ischemia or lower limb amputation, and the comparison group included 102 patients with CHD without such events. After 12 months from the time of inclusion, end points were evaluated. Statistical Analysis Methods. Microsoft Office Excel 2019 program was used. Results. The work revealed that patients with progressive atherosclerosis have worse long-term (one-year) prognosis in comparison with its spontaneous course; a significant influence on unfavorable outcomes is exerted by: Angina of any EF without surgical treatment - OR 4.125 (1.213; 14.027), multivessel coronary artery disease - OR 3.929, CI (1.156-13.350), C-reactive protein level 5 mg/L or higher - OR 18.667, CI (4.684-74.393).