Volume 2 Supplement 1

18th International Symposium on Intensive Care and Emergency Medicine

Open Access

Treatment of hypercoagulation state in acute myocardial infarction

  • VM Kreines1,
  • SI Sharovarnikov1,
  • AI Kravchenko1,
  • VM Vlasov1,
  • VH Vaizov1 and
  • IM Ustyantseva1
Critical Care19982(Suppl 1):P048

DOI: 10.1186/cc178

Published: 1 March 1998

Full text

It is known that thrombolysis does not always prevent the development of early repeated thrombosis of coronary vessels. We have developed a method of extracorporeal thermal plasmamodification — thermoplasmasorbtion (TPS), which allows to reach significant decrease of its coagulation state (complete removal of fibrinogen, reduction of activity of the external and internal coagulation factors) and decrease of blood viscosity. Is shown, that reinfusion of modificated plasma reduces platelet and red blood cells aggregation. 40 patients with myocardial infarction in acute period underwent the analysis. The TPS was applied to 20 patients (group 1) and 20 underwent conservative treatment (group 2). During clinical supervision more expressive positive dynamics changes were noted in all the patients of group 1: stenocardic cupping already in the 1st day of treatment, hemodynamic stabilization, absence of thrombotic and other complications. The improvement of clinical state of the patients of this group was proved by system and central hemodynamic rate: increase of end diastolic volume, decrease of systole frequencies, increase of ejection fraction with stable head ejection. In our opinion the given changes testify to the improvement of heart work with inclusion of a rate thermal plasmosorbtion in complex treatment of acute myocardial infarction.

Authors’ Affiliations

(1)
State Scientific and Clinical Center of Coal Miner's Health Protection

Copyright

© Current Science Ltd 1998

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