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Praxis medica
2014, vol. 43, br. 1, str. 23-28
jezik rada: srpski
vrsta rada: stručni članak
doi:10.5937/pramed1401023M
Elektrokardiografske promene kod bolesnika sa akutnim infarktom miokarda u kasnoj hospitalnoj fazi
Univerzitet u Prištini (Kosovska Mitrovica), Medicinski fakultet

Sažetak

Jedna od mogućnosti za procenu veličine oštećenja miokarda u akutnom infarktu (AIM) jesu elektrokardiografske (EKG) promene, formiranje QS formacije (EKG znaci ožiljnih promena). Ovo istraživanje koje je obuhvatilo tri grupe bolesnika koji su u AIM primali trombolitičku terapiju, nitrate ili beta blokatore, imalo je za cilj da analizom 12-odvodnog EKG-a upoređivanjem utvrdi razliku između ovih terapijskih grupa u vrednosti QRS skora, ali i da ukaže na učestalost periinfarktne srčane insuficijencije u terapijskim grupama, a u odnosu na posmatrana EKG obeležja. Utvrđena je statistički značajna razlika između ispitivanih grupa u odnosu na zastupljenost QS formacije, a jednako analiza QRS skora pokazuje značajno manje vrednosti QRS skora kod bolesnika sa AIM lečenih trombolitičkom terapijom. Ova razlika u odnosu na druge terapijske grupe ukazuje na manji stepen oštećenja miokarda za vreme AIM u grupi bolesnika lečenih trombolitičkom terapijom.

Ključne reči

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