Author/Editor | Svenšek, Franc; Pišljar, Mateja; Golc, Jasmina; Sinkovič, Andreja | |
Title | In-hospital complications in patients with ST-elevation acute coronary syndromes in University Medical Centre Maribor | |
Translated title | Bolnišnični zapleti med zdravljenjem bolnikov z akutnim koronarnim sindromom in dvigom veznice ST v Univerzitetnem kliničnem centru Maribor | |
Type | članek | |
Source | Slov Kardiol | |
Vol. and No. | Letnik 8, št. 1-2 | |
Publication year | 2011 | |
Volume | str. 18-23 | |
Language | eng | |
Abstract | Background. Early reperfusion therapy such as primary percutaneous coronary intervention (PCI) can decrease the magnitude of ischemic necrosis, resulting in prevention of heart failure and mortality in patients with ST-elevation acute coronary syndromes (ACS). Our aim is to evaluate in-hospital treatment and complications in patients, admitted with ST-elevation ACS. Patients and methods. We retrospectively included 225 patients, admitted in 2008 to UKC Maribor due to ST-elevatioAn CSp, resented with chest pain, lasting up to 24 hours, unresponsive to sublingual nitrogliceryn in addition to ST-elevation or presumably new left bundle block on ECG. During in-hospital stay we registered comorbidities, admission Troponin I and the lipid profile, evolution of acute MI according to ECG changes and increase in Troponin I levels, as well as treatment and in-hospital complications. Results. Among comorbidities arterial hypertension (51.5%), dyslipidemia (33,78%) and diabetes (21,33%) were frequently encountered, prior MI in 12%, stroke 4,44% and smoking in 36.89%. Mean admission troponin I was 10,8 +/- 20,5 micro g/l, peak level 47,5 +/- 34,9 micro g/l. Q-MI developed in 27,78% of patients. 90.22% of patients were treated by primary PCI. We observed arrhythmias in 34,22% of patients, heart failure (Killip classes >/= II) in 33.78%, infection in 22,67%, mitral regurgitation in 21,78%, bleedings in 8,44%, reinfarctions in 2,67% and in-hospital mortality in 9.3%. Conclusions. In our patients with ST-elevation ACS we frequently observed comorbidities. In spite primary PCI was performed in 90% of patients, in-hospital mortality was 9,3%, in particular due to heart failure. | |
Summary | Izhodišča. Le zgodnje reperfuzijsko zdravljenje kot je primarna perkutani koronarni poseg (PCI) lahko zmanjša velikost ishemične nekroze ter prepreči smrt in pojav srčnega popuščanja pri bolnikih z akutnim koronarnim sindromom (AKS) in dvigom veznice ST. Naš cilj je bil oceniti bolnišnično zdravljenje in zaplete pri bolnikih z AKS in dvigom veznice ST. Bolniki in metode. Retrospektivno smo vključili 225 bolnikov, zdravljenih 2008 v UKC Maribor zaradi AKS z dvigom veznice ST. Bolniki so imeli prsno bolečino, ki je trajala do 24 ur in se ni odzvala na sublingvalni nitroglicerin ter dvig veznice ST ali novonastali levokračni blok v EKG. Med bolnišničnim zdravljenjem smo beležili prisotnost predhodnih kroničnih bolezni, lipidogram in troponin 1, pojav infarkta srca glede na spremembe v EKG in porast troponina I, bolnišnične zaplete in zdravljenje. Rezultati. Med predhodnimi kroničnimi boleznimi smo ugotavljali zlasti pogost pojav arterijske hipertenzije (51,5%), dislipidemije (33,78%) in sladkorne bolezni (21,33%), predhodni MI v 12%, možgansko kap 4,44% in kajenje pri 36,89%. Sprejemni troponin I je bil 10,8 +/- 20,5 mikro g/l, najvišji 47,5 +/- 34,9 mikro g/l. Q-MI se je razvil pri 27,78% bolnikov. 90,22% bolnikov je bilo zdravljenih s primarno PCI. Med zdravljenjem smo opazovali aritmije pri 34,22 % bolnikih, srčno popuščanje (Killip razred >/= II) pri 33,78%, okužbo pri 22,67%, mitralno regurgitacijo pri 21,78%, krvavitve pri 8,44%, vnovični infarkt pri 2,67%. 9,3% bolnikov je umrlo v bolnišnici. Zaključki. Naši bolniki z AKS in dvigom ST so imeli številne spremljajoče bolezni. Čeprav so bili v 90% zdravljeni s primarno PCI, je bila bolnišnična umrljivost 9,3%, predvsem na račun srčnega popuščanja. | |
Descriptors | ANGIOPLASTY, TRANSLUMINAL, PERCUTANEOUS CORONARY HEART FAILURE, CONGESTIVE ARRHYTHMIA HOSPITAL MORTALITY MYOCARDIAL ISCHEMIA RETROSPECTIVE STUDIES ELECTROCARDIOGRAPHY |