Avtor/Urednik | Mežnar, Miha | |
Naslov | Prognostični pomen kliničnih znakov in ehokardiografske preiskave pri bolnikih z akutnim miokardnim infarktom | |
Tip | monografija | |
Kraj izdaje | Ljubljana | |
Založnik | Univerza v Ljubljani, Medicinska fakulteta | |
Leto izdaje | 2003 | |
Obseg | str. 44 | |
Jezik | slo | |
Abstrakt | BACKGROUND Heart failure is one of the most common as well as most important complications in acute myocardial infarction (AMI). It is related with higher mortality rate and prolonged hospital stay. Treatment and monitoring strategy depend on the prognosis of a complicated course of the disease. Clinical status at the admission and the ECG results are of limited value in predicting the probability of heart failure in patients with AMI. Echocardiography provides us with information on heart dimensions, left ventricle function, will motion abnormalities, valvular morphology and function, and complications such as pericardial effusion and rupture on free wall or septum. Echocardiography is simple, non-invasive and routine bedside examination. AIM More precise prognosis of heart failure development in the course of AMI would enable the use of timely and appropriate treatment and monitoring of patients. According to the results of various studies numerous factors contribute to the prognosis: general characteristics, clinical signs, ECG findings, and results of echocardiography and some invasive examinations. The importance of these factors is defined mostly for the general prognosis of disease development in the long-run. It is not yet determined which factors are most reliable in the prognosis of heart failure after AMI during hospital treatment. We wish to demonstrate that echocardiography testing is an important method, and to find out which are the factors that most accurately predict heart failure after AMI. HYPOTHESIS Early echocardiographic examination is an important contributor to the clinical signs' prognostic value for the development of heart failure after AMI. METHODS The study is retrospective. We processed the results of clinical and early echocardiography examination of 285 patients affected by AMI and compared them with the development of the disease. (Abstract truncated at 2000 characters) | |
Deskriptorji | MYOCARDIAL INFARCTION ECHOCARDIOGRAPHY PROGNOSIS HEART FAILURE, CONGESTIVE ELECTROCARDIOGRAPHY ATRIAL FIBRILLATION PREDICTIVE VALUE OF TESTS RETROSPECTIVE STUDIES |