Avtor/Urednik		Gričar, Marko
Naslov		Obravnava bolnikov z akutnim koronarnim sindromom brez elevacije veznice ST v bolnišnici
Prevedeni naslov		Hospital management of patient with acute coronary syndromes without ST-segment elevation
Tip		članek
Vir		In: Bručan A, Gričar M, Vajd R, editors. Urgentna medicina: izbrana poglavja. Zbornik 11. mednarodni simpozij o urgentni medicini; 2004 jun 9-12; Portorož. Ljubljana: Slovensko združenje za urgentno medicino,
Leto izdaje		2004
Obseg		str. 51-4
Jezik		slo
Abstrakt		Patients with ST segment elevation acute coronary syndromes (ACS) require urgent transportation to nearest interventional center where percutaneous coronary intervention can be performed in order to re-open their occluded coronary artery. Patients with non-ST elevation ACS can be managed, stabilized and evaluated in regional hospitals. High-risk patients can then be reffered for early or postponed invasive therapy according to their clinical course. There are five basic therapies now recommended: aspirin, clopidogrel, heparin or enoxaparine, beta-blockers, and nitrates. Additional treatments for high-risk patients are invasive strategy and GPllb/Illa inhibitors.Advantage of immediate invasive approach over catheterization 24-48 hours after admission has not yet been convincingly proven.
Deskriptorji		ANGINA, UNSTABLE MYOCARDIAL INFARCTION ELECTROCARDIOGRAPHY EMERGENCY SERVICE, HOSPITAL CORONARY CARE UNITS PATIENT TRANSFER