Title Priprema bolesnika za PCI (perkutana koronarna intervencija)
Title (english) Preparation of Patients for PCI (Percutaneous Coronary Intervention)
Author Mare Tomičić
Mentor Ivica Vuković (mentor)
Committee member Tinka Roje (predsjednik povjerenstva)
Committee member Goran Dodig (član povjerenstva)
Committee member Ivica Vuković (član povjerenstva)
Granter University of Split (University Department of Health Studies) Split
Defense date and country 2015-09-30, Croatia
Scientific / art field, discipline and subdiscipline BIOMEDICINE AND HEALTHCARE Clinical Medical Sciences Physical Medicine and Rehabilitation
Abstract Ishemična bolest srca predstavlja jedan od najčešćih uzroka smrti u svijetu, posebice u razvijenim i srednje razvijenim zemljama. Ishemična bolest srca je skup kliničkih sindroma nastalih zbog ishemije miokarda kao posljedice nerazmjera potrebe i dopreme kisika miokardu zbog promjene koronarne cirkulacije. Čimbenici rizika za nastanak ishemične bolesti srca su: pušenje, šećerna bolest, hiperlipoproteinemija i arterijska hipertenzija. Na njih se može djelovati dijetetskim mjerama i lijekovima. Ostali čimbenici rizika (na koje se ne može djelovati) su: genetska predispozicija ,muški spol,stanje nakon menopauze i homocistinemija. Bolest u svim dobnim skupinama češće napada muškarce nego žene u omjeru 4:1. Najčešće se manifestira kao angina pectoris, akutni koronarni sindrom, poremećaj srčanog ritma i provođenja, dekompenzacija srca ili u krajnjem slučaju iznenadna smrt.
Dijagnostički postupci koje se provode uključuju laboratorijske nalaze, elektrokardiografiju (EKG) , test opterećenja, ehokardiografiju, radionuklidne metode, koronarografiju.
Liječenje može biti konzervativno i operativno. Kada promjene načina života i medikamenta terapija ,odnosno konzervativno liječenje ne dovede do poboljšanja, treba razmišljati o revaskularizaciji miokarda. Revaskularizacija miokarda postiže se perkutanom korornarnom intervencijom (PCI) ili kirurškom revaskularizacijom.
Odluka o revaskularizaciji miokarda donosi se na osnovi anamestičkih podataka, kliničkog pregleda ,dijagnostičke obrade u kojoj koronarografija ima posebno značanje.
Prije zahvata potrebno je provesti kvalitetnu pripremu o kojoj ovisi konačan rezultat zahvata. Dobra priprema podrazumijeva da se bolesnik informira o osnovama bolničkog liječenja,upozna sa preoperativnim procedurama, da mu se objasni značenje poštivanja preopreativnih procedura, te da ga se upozna sa samim zahvatom i načinom izvođenja kao i mogućim posljedicama.
Abstract (english) Cardiac Ischemia is one of the main death causes in the world, especcialy in developed and middle developed countries. Cardiac Ischemia is a product of more clinical sindroms occured as a result of myocardium ischemia as a consequence of unsufficient oxygen delivery to myocardium because of the change of coconary circulation.
Risk factors for Cardiac Ischemia are smoking, diabetes, hyperlipoproteinemia and arterial hypertension. These can be regulated by different diets and treatmentn with medications. Other risk factors (which we can't influence on) are: genetic predisposition, male sex, aftermenopause period and homocistenemia. This disease is more often reflected on male sax then female, in a ratio of 4:1, regardless of age. It is usually manifested as angina pectoris, acute coronary syndrom, hearth rhythm disorder, cardial decompesation or in extreme situations as death.
Procedures that are necessary for diagnosing Cardiac ischemia include lab results, electrocardiography, stress test, echocardiography, radionuclide methods and coronography.
Treatment can be conservative and operative. In cases where lifstyle changes and medications treatment, a conservative treatment, don't give results of improvement, myocardial revascularisation needs to be considered. This is accomplished with percutaneous coronary intervention (PCI) or coronary surgical revascularisation.
Decision of myocardial revascularisation is based on history data, clinical survey, diagnostic evaluation in which coronography has a special meaning. Prior to surgery, complete and quality preparation needs to be made in order to have positive final result of the procedure.
Good preparation means that the patient is informed of all basics of hospital treatment, preoperative procedures, that he is aware of the importance of beeing in compliance with preoperative procedures and that he is informed of the procedure itself, method in which it will be done and possible consequenses.
Keywords
ishemična bolest srca
angina pectoris
perkutana korornarna intervencija
Keywords (english)
cardiac ischemia
angina pectoris
percutaneous coronary intervention
Language croatian
URN:NBN urn:nbn:hr:176:770723
Study programme Title: Physiotherapy (university/undergraduate) Study programme type: university Study level: undergraduate Academic / professional title: sveučilišni prvostupnik/prvostupnica (baccalaureus/baccalaurea) fizioterapije (sveučilišni prvostupnik/prvostupnica (baccalaureus/baccalaurea) fizioterapije)
Type of resource Text
File origin Born digital
Access conditions Open access
Terms of use
Repository Repository of the University Department for Health Studies, University of Split
Created on 2020-01-16 09:32:57