Avtor/Urednik		Benko, Davorin; Verovnik, Franc
Naslov		Akutni korornarni sindrom
Prevedeni naslov		Acute coronary syndrome
Tip		članek
Vir		Med Razgl
Vol. in št.		Letnik 40, št. Suppl 1
Leto izdaje		2001
Obseg		str. 59-64
Jezik		slo
Abstrakt		Unstable angina pectoris and acute myocardial infarction without abnormal Q wave are important pathological conditions with high morbidity and mortality rates. They are considered to be transitional states between chronic stable angina pectoris and acute myocardial infarction with abnormal Q wave (with S-T segment elevation). Sudden cardiac death is separate entity, most often caused by malignant cardiac arrhythmia, especially ventricular fibrillation during acute myocardial ischaemia. Based on more recent knowledge of the pathophysiology of acute coronary events, aforementioned clinical manifestations of acute ischaemic cardiac diseases have been grouped under the heading žacute coronary syndrome'. Awareness and recognition of the symptoms on the part of the patient, rapid and correct diagnosis and therapy, rapid and adequate transportation (with availability of a cardiac rhythm monitoring system and the ability to provide therapy during transportation) and prompt therapy in the hospital are crucial to patient survival. Failure to recognize the symptoms on the part of the patient or the regional medical service is the major cause of delays in this sequence of events.
Izvleček		Nestabilna angina pektoris in akutni miokardni infarkt brez zobca Q (brez dviga ST-segmenta) predstavljata danes pomembni bolezenski stanji z visoko obolevnostjo in umrljivostjo. Sta vmesni stanji med kronično stabilno angino pektoris in akutnim miokardnim infarktom z zobcem Q (z dvigom ST segmenta). Posebno obliko predstavlja nenadna srčna smrt, ki jo največkrat povzročijo maligne motnje srčnega ritma - predvsem ventrikularna fibrilacija med akutno nastalo srčno ishemijo. Nova spoznanja o patofiziologiji akutnih koronarnih dogodkov so združila zgoraj opisane akutne klinične manifestacije ishemične bolezni srca pod pojmom akutni koronarni sindrom. Bolnikovo hitro in pravilno razpoznavanje simptomov, ustrezna in pravočasna diagnostika, zdravljenje, hiter in ustrezen transport z nadzorom srčnega ritma z možnostjo terapevtskega ukrepanja med prevozom ter ustrezno, hitro zdravljenje v bolnišnici, so bistveni za preživetje. Na tej poti nastajajo zamude, ki so lahko posledica nepoznavanja simptomov s strani bolnika ali organizacije zdravstvene službe na določenem območju.
Deskriptorji		ANGINA, UNSTABLE MYOCARDIAL INFARCTION ACUTE DISEASE