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Srce i krvni sudovi
2015, vol. 34, br. 4, str. 186-188
jezik rada: srpski
vrsta rada: prikaz slučaja
doi:10.5937/siks1504186R


Primena neinvazivnih dijagnostičkih metoda u proceni ishemijske bolesti srca kod bolesnika sa blokom leve grane Hisovog snopa
aKlinički centar Srbije, Klinika za kardiologiju
bKlinički centar Srbije, Klinika za kardiologiju + Medicinski fakultet Univerziteta u Beogradu

e-adresa: voja2011@yahoo.com

Sažetak

Ishemijska bolest srca je najčešći uzrok bloka leve grane (LBBB). Neinterpretabilni elektrokardiogram (EKG), izmenjena pokretljivost septuma, kao i specifičnosti koronarnog protoka kod ovih pacijenata značajno limitiraju senzitivnost neinvazivnih dijagnostičkih metoda u proceni koronarne bolesti. Prikazujemo slučaj bolesnice sa nižom intermedijernom pre-test verovatnoćom za postojanje koronarne bolesti, kojoj smo tek na osnovu nalaza različitih neinvazivnih testova za procenu miokardne ishemije indikovali invazivnu koronarografiju i dalje adekvatno lečenje.

Ključne reči

Reference

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