| Author/Editor | Balevski, Igor; Granda, Samo; Kanič, Vojko | |
| Title | Akutni koronarni sindrom s prizadetostjo debla leve koronarne arterije | |
| Translated title | Acute coronary syndrome with left main coronary involvement | |
| Type | članek | |
| Source | In: Urgentna medicina: izbrana poglavja 2012 Ljubljana : Slovensko združenje za urgentno medicino | |
| Publication year | 2012 | |
| Volume | str. 247-248 | |
| Language | slv | |
| Abstract | Aterosklerotična ali trombotična bolezen debla leve koronarne arterije je lahko vzrok za urgentno stanje, saj pride do zmanjšaneprekrvavitve v večini srčne mišice levega prekata. Nujna je čim prejšnja ponovna vzpostavitev koronarnega pretoka. Najhitrejši način je revaskularizacija s perkutanim koronarnim posegom, v primeru stabilne bolezni pa je še zmeraj zlati standard kirurška revaskularizacija. Na bolezen debla leve koronarne arterije lahko posumimo že s posnetokom 12-kanalnega elektrokardiograma. Značilne spremembe so dvig ST spojnice v odvodih aVR in V1 ter prisotnost desnokračnega bloka. V primeru klinične slike akutnega koronarnega sindroma in opisanih elektrokardiografskih sprememb je potreben takojšen transport v center, ki ima na voljo koronarografski laboratorij.Atherosclerotic or thrombotic left main coronary artery disease is often a medical emergency because of hypoperfusion of a large area of left myocardium. Coronary perfusion should be reestablished as soon as possible. Percutaneous coronary intervention is the quickest procedure for the restoration of coronary blood flow. The golden standard for stabile patients is still surgical revascularization. Left main disease can be suspected on the ECG basis. Typical ECG changes include ST elevation in leads aVR and V1 and the presence of right bundle branch block. Typical ECG changes include ST elevation in leads aVR and V1 and the presence of right bundle branch block. In case of symptoms of acute coronary syndrome and before mentioned ECG changes the patient should be transported to the catheterization laboratory as soon as possible. | |
| Descriptors | Acute Coronary Syndrome Akutni koronarni sindrom Emergency Medicine Nujna medicina Electrocardiography Elektrokardiografija Diagnosis Therapy Diagnostika Zdravljenje |