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The Role of Timely Invasive Interventions in Optimization of IHD Primary and Secondary Prevention

N. Bakradze, M. Gelashvili, KH. Didebeli, E. Tsatsanashvili, G. Kajaia
Medical School “Tbilisi”

Key words: IHD, prevention, interventions.

The work is being carried out at the Clinical Hospital of the War Veterans of Georgia since 1992.

In total 967 patients of both sexes, aged 45-85 yrs with different forms of ischemic heart disease were involved in this study.

        On the basis of evidence-based medicine and personal experience following topics were studied:

• The role of timely invasive interventions in optimization of the primary and secondary prevention of IHD in acute and chronic coronary syndrome.         

• Mortality rate and frequency of end-point complications in patients, who thoroughly followed all preventive principles, were 1.5-1.7 times lower that in those who due to financial difficulties did not perform investigations or adhere to treatment prescribed.         

• The cases requiring coronary artery revascularisation have been identified.

•  Prevention of major predictors, resulting in significant reduction of life-threatening complications and mortality, were discussed.

Literature:   

1.        ACC/AHA Guidelines for the Management of Patients with Chronic Stabile Angina, 1999.

2.       Management of Stabile Angina, A National Clinical Guideline, SIGN Publication, 51, 2001.

3.       Secondary Prevention of Coronary Heart Disease. A National Clinical Guideline, SIGN Publication, 41, 2000.

4.       Lipids and the Primary Prevention of Coronary Heart Disease. A National Clinical Guideline, SIGN Publication, 40, 1999.    

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