Influence of Percutaneous Coronary Intervention on Heart Failure in Patients with Q-Wave, Qs-Wave Myocardial Infarction

  • T. V. Merhel Ivano-Frankivsk National Medical University, Ivano-Frankivsk
Keywords: acute myocardial infarction, remodeling, heart failure, percutaneous coronary intervention


In patients with myocardial infarction without revascularization chronic heart failure is characterized by burdened course of disease manifesting in deterioration of clinical condition, decrease in exercise tolerance, significant changes in hemodynamics, intense manifestations of myocardial ischaemia, significant left ventricular remodeling compared to those individuals who underwent endovascular myocardial reperfusion by culprit coronary artery stenting. Percutaneous coronary intervention was found to promote significant increase in left ventricular ejection fraction, a significant decrease in end-systolic volume, myocardial mass and left ventricle myocardial performance index compared to patients without revascularization.

Reperfusion therapy improves the course of post-infarction period and therefore should be a priority treatment of patients with acute myocardial infarction. 


Velazguez EJ, Francis GS, Amstrong PW. [] An international perspective on heart failure and left ventricular systolic dysfunction complicating myocardial infarction: the valiant registry. European Heart Journal. 2004; 25: 1911-1919.

Amosova KМ, Sychenko YuО, Rudenko YuV. [et. al] The effectiveness of reperfusion therapy in various categories of patients with acute coronary syndrome with ST-segment elevation. Sertse i sudyny. 2012; 2: 8-23.

Kovalenko VМ, Nesukay ОH, Danylenko ОО. [et al.] Geometry of left ventricular contraction – a new look at the problem through the prism of myocardial structural organization. Ukraiinskyi medychnyi chasopys. 2013; 2: 183-187.

Shumakov VА, Malinovskaya IE, Tereshkevych LP. [et al.] The study of postinfarction period under observation for 2 years, the evaluation of the treatment and adherence to it. Ukraiinskyi kardiolohichnyi zhurnal. 2012; 6: 58-61.

Kyyak YuH, Barnett ОYu. Remodeling, hibernation and apoptosis of cardiomyocytes in cases of hypertension and myocardial infarction as a predictor of heart failure. Klinichni doslidzhennia. 2011; 2: 27-34.

Slydzevska ІK, Babiy LM, Savytskyi SYu. [et al.] Evaluation of survival of patients with myocardial infarction according five-year observation. Ukraiinskyi kardiolohichnyi zhurnal. 2011; 3: 7-11.

Sabate M, Brugaletta S, Ceguier A. [et al.] The examination trial (evelrolimus-eluting stents versus bare-metal stents in ST-segment elevation myocardial infarction). Jornal of the American college of cardiology foundation. 2014; 7: 64-71.

Markov VА, Vyshlov ЕV, Sevastyanova DS. [et al.] omparative effectiveness pharmacoinvasive myocardial reperfusion strategy and primary angioplasty in patients with acute myocardial infarction with ST-segment elevation. Kardiologiya. 2013; 10: 10-15.

Valuieva S.V. Ukrainian register STIMUL: the effectiveness of different methods of acute coronary syndromes with ST segment elevation treatment and adherence to treatment in patients during postinfarction period (the results of two-year of observation). Ukraiinskyi kardiolohichnyi zhurnal. 2013; 3: 40-45.

Kovalenko VМ, Nesukay ОH, Polenova NS. [et al.] The value of echocardiography in the assessment of myocardial viability in patients with myocardial infarction with Q-wave. Ukraiinskyi kardiolohichnyi zhurnal. 2013; 2: 23-28.

Original Research