Show simple item record

Clinical, angiographic and therapeutic specificities of STD segment elevation acute myocardial infarction in patients over 75 years of age

dc.contributor.advisorPanić, Gordana
dc.contributor.otherČemerlić Ađić, Nada
dc.contributor.otherBabić, Rade
dc.contributor.otherPetrović, Milovan
dc.contributor.otherJung, Robert
dc.contributor.otherIvanov, Igor
dc.creatorČanji, Tibor
dc.date.accessioned2020-07-03T13:26:24Z
dc.date.available2020-07-03T13:26:24Z
dc.date.issued2014-11-17
dc.identifier.urihttp://www.cris.uns.ac.rs/DownloadFileServlet/Disertacija140481661282726.pdf?controlNumber=(BISIS)89339&fileName=140481661282726.pdf&id=2415&source=NaRDuS&language=srsr
dc.identifier.urihttps://nardus.mpn.gov.rs/handle/123456789/4700
dc.identifier.urihttp://www.cris.uns.ac.rs/record.jsf?recordId=89339&source=NaRDuS&language=srsr
dc.identifier.urihttp://www.cris.uns.ac.rs/DownloadFileServlet/IzvestajKomisije140481661891568.pdf?controlNumber=(BISIS)89339&fileName=140481661891568.pdf&id=2416&source=NaRDuS&language=srsr
dc.description.abstractUvod: Pacijenti sa akutnim infarktom miokarda sa ST elevacijom treba da budu podvrgnuti reperfuzionoj terapiji, pre svega pPCI, bez obzira na životnu dob, ali zbog  veće učestalosti komorbiditeta, faktora rizika za koronarnu bolest i višesudovne koronarne bolesti, kod pacijenata starije životne dobi, odluka o reperfuzionoj terapiji treba da se donese sa dobrom procenom odnosa rizik – benefit. Cilj: Utvrđene su razlike u kliničkoj slici, angiografskom nalazu, terapijskom pristupu, toku i ishodu akutnog infarkta miokarda sa ST elevacijom u starih osoba u odnosu na mlađu životnu dob (mlađi od 75 godina). Materijal i metode: U studiju je uključeno 240 pacijenata sa akutnim infarktom miokarda sa ST elevacijom, podeljeni u dve komparabilne grupe (120 bolesnika starijih i kontrolna grupa 120 mlađih od 75 godina), koji su izabrani metodom slučajnog izbora, po redosledu prijema u bolnicu. Za pacijente iz obe grupe popunjavan je upitnik, a tretirani su po jedinstvenom protokolu lečenja. Rezultati: U ispitivanom uzorku, u grupi bolesnika starijih od 75 godina reperfuziona terapija je bila primenjena u 85% slučajeva. Intrahospitalni mortalitet za ceo uzorak je 11,7% i u skladu je sa drugim istraživanjima [27]. Mortalitet u grupi pacijenata preko 75 godina je bio 12,5%, a u grupi pacijenata sa manje od 75 godina 10,8% (p=ns). Zaključak: Klinička slika bolesti kod bolesnika starije životne dobi je češće atipična što korelira sa drugim studijama [31, 35], a tok bolesti komplikovaniji i ishod lošiji. Kod bolesnika starijih od 75 godina češća je višesudovna koronarna bolest. Primarna perkutana koronarna intervencija u akutnom infarktu miokarda sa ST elevacijom u pacijenata starije životne dobi potvrđuje benefit u lečenju, toku i ishodu bolesti.sr
dc.description.abstractIntroduction: Patients with ST segment acute myocardial infarction should undergo reperfusion therapy, PCI in the first place, no matter their life age. However, due to high frequency of comorbidities, risk factors for coronary disease and multi-vessel coronary disease, the decision of reperfusion therapy in elderly patients should be made according to the good evaluation or risk benefit ratio. Aim: The differences have been determined in the clinical picture, angiographic finding, therapeutic approach, course and outcome of ST segment acute myocardial infarction in elderly patients in relation to younger life age (less than 75 years). Material and methods: The study included 240 patients with ST segment acute myocardial infarction. They were randomly divided into two comparable groups according to the date of their hospitalization (120 patients older than 75 and control group of 120 patients younger than 75 years). Both groups of patients filled out the survey and were treated according to the same protocol. Results: In the examined sample of the group of patients older than 75 the reperfusion therapy was performed in 85% of cases. Intrahospital mortality for the entire sample was 11.7% and is in coherence with other researches [27]. Mortality in the group of patients older than 75 years was 12.5%, and it was 10.8% (p=ns) in the group of patients younger than 75.  Conclusion: Clinical picture of disease in elderly patients is atypical thus correlating with other studies [31, 35], and course of illness more complicated and with a worse outcome. Multi-vessel disease is more common in patients older than 75 years. Primary percutaneous coronary intervention in STEMI in elderly patients confirms benefits in treatment, course and outcome of disease.en
dc.languagesr (latin script)
dc.publisherУниверзитет у Новом Саду, Медицински факултетsr
dc.rightsopenAccessen
dc.rights.urihttps://creativecommons.org/licenses/by-nc/4.0/
dc.sourceУниверзитет у Новом Садуsr
dc.subjectInfarkt miokardasr
dc.subjectMyocardial Infarctionen
dc.subjectAgeden
dc.subjectRisk Factorsen
dc.subjectCoronary Diseaseen
dc.subjectCoronary Angiographyen
dc.subjectPercutaneous Coronary Interventionen
dc.subjectTreatment Outcomeen
dc.subjectStare osobesr
dc.subjectFaktori rizikasr
dc.subjectKoronarna bolestsr
dc.subjectKoronarna angiografijasr
dc.subjectPerkutana koronarna intervencijasr
dc.subjectIshod lečenjasr
dc.titleKliničke, angiografske i terapijske specifičnosti akutnog infarkta miokarda sa ST elevacijom kod osoba starijih od 75 godinasr
dc.titleClinical, angiographic and therapeutic specificities of STD segment elevation acute myocardial infarction in patients over 75 years of ageen
dc.typedoctoralThesisen
dc.rights.licenseBY-NC
dcterms.abstractПанић Гордана; Чемерлић Aђић Нада; Бабић Раде; Петровић Милован; Јунг Роберт; Иванов Игор; Чањи Тибор; Клиничке, ангиографске и терапијске специфичности акутног инфаркта миокарда са СТ елевацијом код особа старијих од 75 година; Клиничке, ангиографске и терапијске специфичности акутног инфаркта миокарда са СТ елевацијом код особа старијих од 75 година;
dc.identifier.fulltexthttp://nardus.mpn.gov.rs/bitstream/id/34750/IzvestajKomisije274.pdf
dc.identifier.fulltexthttp://nardus.mpn.gov.rs/bitstream/id/34751/Disertacija274.pdf
dc.identifier.fulltexthttps://nardus.mpn.gov.rs/bitstream/id/34750/IzvestajKomisije274.pdf
dc.identifier.fulltexthttps://nardus.mpn.gov.rs/bitstream/id/34751/Disertacija274.pdf
dc.identifier.rcubhttps://hdl.handle.net/21.15107/rcub_nardus_4700


Files in this item

Thumbnail
Thumbnail

This item appears in the following Collection(s)

Show simple item record