Theoretical and clinical prerequisites for the prevention of stress reactions and life-threatening arrhythmias in the treatment of acute coronary syndrome (post 2)
Abstract
Prevention of stress reactions and life-threatening ischemic arrhythmias involves the use of drugs blocking the efferent paths of the autonomic nervous system in ACS. Selective β-adrenergic blockers with a reduced risk of mortality (metoprolol, atenolol), lipophilic - metoprolol, propranolol, timolol, ganglionic blockers - pentamine, benzogeksoniy, cholinergic antagonists - atropine are considered. Joint use of drugs has more effective stress-protective effect. The proposed manual is considered as an additional protocol to the main method of managing patients with ACS.
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9. Nazarov I.P. Extended gangliplegia in anesthesiology and surgery [Prodlennaya ganglioplegiya v anesteziologii i khirurgii]. Krasnoyarsk, 1999. 414 p. (in Russian)
10. Nazarov I.P., Dykhno Yu.A., Ostrovsky D.V. [Stress protection in high-risk surgery Stressprotektsiya v khirurgii povyshennogo riska]. Krasnoyarsk, 2003. Pt. 1. 374 p. (in Russian)
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12. Pushkarev B.G, Nadiradze Z.Z, Karetnikov I.A, Bakhareva Yu.A. The concept of the central genesis of ischemic arrhythmias, ventricle fibrillations [Kontseptsiya tsentral'nogo geneza ishemicheskikh aritmiy, fibrillyatsiy zhaludochkov serdtsa]. // Abstracts of the reports of the III Russian Congress on Pathophysiology of November 9-12. Moscow, 2004. 57 p. (in Russian)
13. Pushkarev B.G. Theory and practice of the central mechanism of ischemic arrhythmias, myocardial defense in experiment and cardiac surgery [Teoriya i praktika tsentral'nogo mekhanizma ishemicheskikh aritmiy, zashchity miokarda v eksperimente i kardiokhirurgii]. Irkutsk, 2010. 325 p. (in Russian)
14. Pushkarev B.G. Theory and practice of the central mechanism of ischemic arrhythmias, myocardial defense in experiment and cardiac surgery [Teoriya i praktika tsentral'nogo mekhanizma ishemicheskikh aritmiy, zashchity miokarda v eksperimente i kardiokhirurgii]. Irkutsk, 2011. 331 p. (in Russian)
15. Shalimov A.A. Shifrin G.A. Modern methods of ganglioplasty in surgery and anesthesiology [Sovremennyye metody ganglioplegii v khirurgii i anesteziologii]. Kiev, 1975. 207 p. (in Russian)
16. Shakhnovich R.M. Acute coronary syndrome with ST segment elevation [Ostryy koronarnyy sindrom s pod,yemom segmenta ST]. Moscow, 2010. 368 p. (in Russian)
17. Kharkevich D.F. Ganglionic facilities [Ganglionarnyye sredstva]. Moscow, 1962. 296 p. (in Russian)
18. Yatsozhinsky Y.D., Penkova N.S. Ganglioblokatory in the therapy of pulmonary hemorrhage [Ganglioblokatory v terapii legochnogo krovotecheniya]. // Vrachebnoe delo. 1969. (11). P. 59-62.
19. Cooper T. Physiologic and pharmacologic effect of cardiac denervation. // Federal Proc. 1965. Vol. 24 (6). P. 82-93.
20. Freemantle N., Cleland J., Young P., Mason J., Harrison J. Beta blockade after myocardial infarction: systematic review and meta regression analysis. // BMJ. 1999. Vol. 318. P. 1730-1737.
Published
2019-01-24
How to Cite
ПУШКАРЕВ, Борис Георгиевич; БАХАРЕВА, Юлия Александровна.
Theoretical and clinical prerequisites for the prevention of stress reactions and life-threatening arrhythmias in the treatment of acute coronary syndrome (post 2).
Sibirskij Medicinskij Zurnal (Irkutsk) = Siberian Medical Journal (Irkutsk) 16+, [S.l.], v. 153, n. 2, p. 49-52, jan. 2019.
ISSN 1815-7572. Available at: <http://smj.ismu.baikal.ru/index.php/osn/article/view/295>. Date accessed: 01 jan. 2026.
Issue
Section
Clinical cases
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