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2017, vol. 34, br. 4, str. 329-337
Prikaz bolesnika sa akutnim infarktom miokarda 'od ravne linije do ugradnje stenta'
aUniverzitet u Nišu, Medicinski fakultet + Univerzitet u Nišu, Medicinski fakultet, Institut za prevenciju, lečenje i rehabilitaciju reumatičkih i kardioloških bolesti 'Niška Banja' - Niška Banja
bUniverzitet u Nišu, Medicinski fakultet

e-adresadrdejanpetrovic@gmail.com
Sažetak
Asistolija je ređa primarna manifestacija kod nastanaka iznenadne srčane smrti (ISS), a preživljavanje kod srčanog zastoja usled asistolije je veoma nisko. Cilj našeg prikaza bio je uspešna kardiopulmonalna reanimacija (KPR) kod bolesnika sa akutnim infarktom miokarda (AIM) i ređim, a težim oblikom srčanog zastoja - asistolijom. Veoma kratko vreme između srčanog zastoja u akutnom infarktu miokarda, koji se manifestovao asitolijom, i preduzetih adekvatnih mera KPR-a, uslov je preživljavanja našeg bolesnika. Nakon uspešne reanimacije, postavljena je dijagnoza AIM anterione lokalizacije sa elevacijom ST segmenta. Prava terapijska strategija je sigurno rana primarna perkutana koronarna intervencija (PPCI). Za manje od 2 h nakon registrovanja 'ravne linije' i uspešne reanimacije, bolesnik je bio u Sali za kateterizaciju, gde mu je nakon urgentne koronarografije, urađena i uspešna pPCI na LAD. U daljem lečenju bolesnika korigovana je većina faktora rizika, osim pušenja, što je možda i razlog novootkrivene bolesti tumora pluća. Rano prepoznavanje i pravilno primenjene mere KPR-a u velikoj meri doprinose smanjenju smrtnosti i uspešnom oporavku ovakvih bolesnika.
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O članku

jezik rada: engleski
vrsta rada: prikaz slučaja
DOI: 10.1515/afmnai-2017-0036
objavljen u SCIndeksu: 15.03.2018.
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