avkАрхивъ внутренней медициныThe Russian Archives of Internal Medicine2226-67042411-6564“SINAPS” LLC10.20514/2226-6704-2016-6-2-34-41avk-516Research ArticleЛЕКЦИИLECTURESИНФАРКТ МИОКАРДА ВТОРОГО ТИПА. МИФ ИЛИ РЕАЛЬНОСТЬ?MYOCARDIAL INFARCTION TYPE 2. MYTH OR REALITY?ЖелновВ. В.ZhelnovV. V.

кафедра госпитальной терапии № 2,

Москва

Chair of Internal medicine № 2,

Moscow

ДятловН. В.DyatlovN. V.

кафедра госпитальной терапии № 2,

Москва

Chair of Internal medicine № 2,

Moscow

ДворецкийЛ. И.DvoretskyL. I.

кафедра госпитальной терапии № 2,

Москва

Chair of Internal medicine № 2,

Moscow

dvoretski@mail.ruГБОУ ВПО Первый МГМУ им. И.М. СеченоваРоссияI.M. Sechenov First State Medical UniversityRussian Federation201604052016623441Copyright © Желнов В.В., Дятлов Н.В., Дворецкий Л.И., 20162016Желнов В.В., Дятлов Н.В., Дворецкий Л.И.Zhelnov V.V., Dyatlov N.V., Dvoretsky L.I.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.medarhive.ru/jour/article/view/516

Согласно III Универсальному Определению ИМ в настоящее время выделяют пять типов ИМ в зависимости от механизма развития заболевания. В представленном обзоре проанализированы современные данные о механизме развития второго типа ИМ, некоторых особенностях его диагностики, частоте развития и прогнозе этого типа инфаркта миокарда. На основании литературных данных показано, что в настоящее время отсутствуют однозначные данные о частоте развития данного типа ИМ. Актуальность проблемы второго типа ИМ также заключается в том, что нет чётких, общепринятых рекомендаций по диагностике, формулировке диагноза и лечению. Проведённое клиническое наблюдение илюстрирует вышеуказанные трудности в формулировке диагноза, клинические особенности развития и течения ИМ второго типа в остром периоде заболевания.

According to The Third Definition of Myocardial Infarction there are five types of myocardial infarction depending on pathogenesis. This review provides actual data about myocardial infarction type 2 mechanism including diagnosis management, epidemiological characteristic and patient prognosis. Previously published data shows discordant information about myocardial infarction type 2 frequency, treatment and diagnostic options. Our clinical observation illustrates these severities in diagnosis construction, disease feature in acute period in casual clinical practice.

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The authors declare that there are no conflicts of interest present.