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Iindividually typological and concomitant variability of morphological characteristics of the coronary arteries

https://doi.org/10.24884/1607-4181-2015-22-4-80-83

Abstract

Cardiovascular diseases are the leading cause of death and disability in the population in most developed countries. The organization of the vascular bed is an objective indicator of the state of the trophic tissue of any organ. The aim is to identify the individually-typological and concomitant variability of morphological characteristics of the coronary arteries in adults of the second period of mature and elderly. Materials and Methods: 161 coronary angiograms were investigated without evidence of pathological changes in coronary arteries of people of both sexes aged 36 to 74 years using the programs «Syngo Fast View», «ImageJ», «Adobe Photoshop CS7», «Microsoft Excel», «SPSS». Results: We identified the indivi-dually-typological and concomitant characteristics of the coronary arteries in people of different ages and sex in norm. Conclusions: Right and left coronary arteries have 3 types for the length of the main trunk (short, medium, long) and types of interposition of the branches of first order: 1 - compact (less than 47.420, less than 45.430), uniform (47.42 - 83.78; 45.43 -82.77), 3 - sparse (more than 83.78, 82.77 or more, respectively) depending on the angle between them (in diastole). Received data about anatomy of coronary arteries allows a more objective approach to the definition of tactics of treatment of cardiac patients.

About the Authors

T. S. Zharikova
Первый Московский государственный медицинский университет имени И.М. Сеченова
Russian Federation


V. Y. Milyukov
Первый Московский государственный медицинский университет имени И.М. Сеченова
Russian Federation


V. N. Nikolenko
Первый Московский государственный медицинский университет имени И.М. Сеченова
Russian Federation


References

1. Александрович В.В. О кровоснабжении различных отделов сердца // Здравоохранение Казахстана. - 1948. - № 7. - С. 21-27.

2. Бокерия Л.А., Гудкова Р.Г. Сердечно-сосудистая хирургия - 2010. Болезни и врожденные аномалии системы кровообращения. - М.: НЦССХ им. А.Н. Бакулева РАМН, 2011. - 192 с.

3. Долгашова М.А. Анализ основных морфофункциональных показателей сосудистых ветвлений коронарных артерий у людей первого и второго периодов зрелого возраста / / Медицинский вестник Северного Кавказа. - 2007. - № 1. - С. 46 - 48.

4. Казакова Н.В. Возрастные особенности венечных артерий сердца // Сб. науч. работ по анат. кровеносн. сист. - Волгоград, 1964. - Ч. 1. - С. 149- 153.

5. Кардиология. Национальное руководство: краткое издание / под ред. Ю.Н. Беленкова, Р.Г. Оганова. - М.: ГЭОТАР-Медиа, 2012. - 848 с.

6. Карпов Ю.А., Сорокин Е.В. Стабильная ишемическая болезнь сердца: стратегия и тактика -лечения. - 3-е изд., перераб. и доп. - М.: Мед. информ. аг-во, 2012. - 272 с.

7. Тарасов Л.А. Особенности кровообращения сердца. - Киров: Волго-Вят. кн. изд-во. Кировское отд., 1965. - 180 с.

8. Ajayi N.O., Lazarus L., Vanker E.A., Satyapal K.S. The impact of left main coronary artery morphology on the distribution of atherosclerotic lesions in its branches // Folia Morphol. (Warsz). - 2013. - № 72 (3). - Р. 197 - 201.

9. Loukas M., Curry B., Bowers M. et al. The relationship of myocardial bridges to coronary artery dominance in the adult human heart // J Anat. - 2006. - № 209 (1). - Р. 43-50.

10. Omerbasic E., Hasanovic A., Omerbasic A., Pandur S. Prognostic value of anatomical dominance of coronary circulation in patients with surgical myocardial revascularization // Med. Arch. - 2015. - № 69 (1). - Р. 6-9.

11. Takimura C.K., Lemos P.A., Perin M.A. et al. Angiographic geometric predictors of myocardial infarction are not associated with ultrasonographic markers of plaque vulnerability // Arq. Bras. Cardiol. - 2006. - № 87 (2). - Р. 99- 105.

12. Valgimigli M., Rodriguez-Granillo G.A., Garcia-Garsia H.M. et al. Plaque composition in the left main stem mimics the distal but not the proximal tract of the left coronary artery: influence of clinical presentacion, length of the left main trunk, lipid profile, and systemic levels of C-reactive protein // J. Am. Coll Cardiol. - 2007. - Vol. 2. - № 49 (1). - Р. 23-31.

13. World Health Organization. Noncommunicable diseases country profiles - 2014. - 207 p. URL: http://apps.who.int/iris/bitstream/10665/128038/1/9789241507509_eng.Pdf.


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For citations:


Zharikova T.S., Milyukov V.Y., Nikolenko V.N. Iindividually typological and concomitant variability of morphological characteristics of the coronary arteries. The Scientific Notes of the Pavlov University. 2015;22(4):80-83. (In Russ.) https://doi.org/10.24884/1607-4181-2015-22-4-80-83

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ISSN 1607-4181 (Print)
ISSN 2541-8807 (Online)