Avtor/Urednik     Bajuk, Katica; Studen, Polona
Naslov     Pomen klinične ocene bolnika z nestabilno angino pektoris med stenokardijo za napoved poteka bolezni
Tip     monografija
Kraj izdaje     Ljubljana
Založnik     Medicinska fakulteta
Leto izdaje     2001
Obseg     str. 29
Jezik     slo
Abstrakt     Background. Unstable angina pectoris (UAP) and non-ST elevation myocardial infarction (NSTEMI) reflect a critical moment of coronary artery disease. The choice of appropriate therapy depends on the estimated risk of adverse outcome. The risk stratification is made mainly on the basis of typical changes in electrocardiogram and values of biochemical markers of heart muscle damage (troponine T and I, enzymes of heart muscle necrosis). Only a limited number of studies included clinical characteristics in the estimation of the risk of these patients but none of the studies considered clinical presentation during stenocardia. AžM. The aim of our research-paper was to evaluate the prognostic value of clinical characteristics during stenocardia. Hypothesis. The clinical presentation of a patient with UAP/NSTEMI during stenocardia predicts the adverse outcome of the disease during in-hospital treatment. Methods. A retrospective analysis of patients with admission diagnosis UAP/NSTEMI admitted to Centre of intensive internal medicine during the period between January 1996 and December 1999 was preformed. To describe the clinical presentation of the patient the following parameters were selected: age, duration of stenocardia, systolic blood pressure and heart rate during stenocardia. The connection of these characteristics with adverse outcome of the illness (death, acute myocardial infarction, urgent revascularisation procedure) until discharge from the hospital was analysed using analysis of variance and multiple logisitic regression. (Abstract truncated at 2000 characters).
Deskriptorji     ANGINA, UNSTABLE
MYOCARDIAL INFARCTION
PROGNOSIS
RISK ASSESSMENT
INTENSIVE CARE UNITS
BLOOD PRESSURE
HEART RATE
MYOCARDIAL REVASCULARIZATION