Open AccessClinical-economic analysis of morphologic diagnosis methods of irreversible myocardial changes aimed at selecting optimal strategy of surgical treatment of ischemic cardiomyopathy patients
Author(s) -
T. A. Kalitvyanskaya,
Ye. V. Yusoubova,
В. А. Казаков,
I. V. Soukhodolo,
V. M. Shipoulin
Publication year - 2007
Publication title -
bûlletenʹ sibirskoj mediciny
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.135
H-Index - 3
eISSN - 1819-3684
pISSN - 1682-0363
DOI - 10.20538/1682-0363-2007-1-129-138
Subject(s) - medicine , ischemic cardiomyopathy , cardiomyopathy , cardiology , surgery , heart failure , ejection fraction
The aim of the study was performing clinical-economic analysis of the assessment methods of morphologic-functional status of left ventricular myocardium in ischemic cardiomyopathy patients. The assessment of expenses of morphologic study methods of before operation and intra-operation diagnosis of myocardial dysfunction irreversibility stage was done. Method of minimizing ex-penses was chosen to analyze these two approaches. Comparative analysis of morphologic methods showed that the most economi-cally profitable is before operation method. The economic assessment was performed for optimization of morphologic studies in the work of cardiovascular surgery department of the Institute of Cardiology, TSC RAMS (Tomsk). The necessity of myocardial dys-function state analysis is due to the selection of optimal approach to surgical treatment of ischemic cardiomyopathy patients or re-vealing contraindications to it.