Avtor/Urednik		Fras, Zlatko
Naslov		Ocenjevanje koronarne ogroženosti - kaj to pomeni za zdravnika družinske medicine
Prevedeni naslov		Coronary risk assessment - what it means for a general practitioner
Tip		članek
Vir		Med Razgl
Vol. in št.		Letnik 40, št. Suppl 1
Leto izdaje		2001
Obseg		str. 87-97
Jezik		slo
Abstrakt		There are many pathophysiological states, so called risk factors, which influence the processes of initiation, progression and complications of atherosclerosis. Because of their complex interrelationships in continuing the atherosclerotic pathological process, statistically proven facts of their interaction and effects on morbidity and mortality are used. On the basis of joint European recommendations for the prevention of coronary heart disease in clinical practice, slightly modified Slovene guidelines have been adopted. Their most important characteristic is that the determination of the absolute global coronary risk is used as the starting point for planning and implementation of the intervention strategy. The article presents proposed risk assessment procedure and interventional guidelines for persons at high risk. There is much evidence that the preventative approach to cardiovascular diseases is feasible and justified, since the clinical manifestations of coronary heart disease are frequently progressive and fatal, and despite the continual advances in medical knowledge and technology, such patients are rarely completely cured.
Izvleček		Na nastanek, napredovanje in zaplete koronarne bolezni vplivajo številni dejavniki tveganja. Zaradi njihovega zapletenega prepletanja v kontinuiranem bolezenskem procesu ateroskleroze se za prepoznavo in obravnavo zelo ogroženih poslužujemo statistično ugotovljenih dejstev glede njihovega medsebojnega delovanja in učinkov na zbolevnost in umrljivost. V Sloveniji smo na osnovi skupnih evropskih priporočil strokovnih združenj s področja srčno-žilne medicine pripravili nacionalne smernice za preprečevanje koronarne bolezni v klinični praksi. Njihova najpomembnejša značilnost je, da je izhodišče za intervencije določitev absolutne koronarne ogroženosti. V prispevku je podan predlog postopka ocene ogroženosti in smernice obravnave zelo ogroženih posameznikov. Z dokazi podprto je dejstvo, da je preventivni pristop k obravnavi srčno-žilnih bolezni izvedljiv in upravičen, saj je koronarna bolezen v svoji klinično manifestni obliki velikokrat progresivna in pogosto usodna, bolnika pa je mogoče kljub vsakodnevnernu napredku kurativne medicine le redko popolnoma ozdraviti.
Deskriptorji		CARDIOVASCULAR DISEASES FAMILY PRACTICE RISK ASSESSMENT ATHEROSCLEROSIS CORONARY DISEASE