Author/Editor		Lobnik, Anton; Kanič, Vojko; Kotnik, Milan; Vokač, Damijan
Title		Akutni koronarni sindrom
Translated title		The acute coronary syndrome
Type		članek
Source		In: Hojs R, Krajnc I, Pahor A, et al, editors. Zbornik predavanj in praktikum Iz prakse za prakso z mednarodno udeležbo. 13. srečanje internistov in zdravnikov splošne medicine; 2002 maj 10-11; Maribor. Maribor: Splošna bolnišnica Maribor,
Publication year		2002
Volume		str. 93-100
Language		slo
Abstract		The acute coronary syndrome includes a whole spectrum of clinical diagnoses ranging from unstable angina pectoris and various forms of myocardial infarction to a sudden ischemic cardiac death. A quick and correct intenrention before hospitalisation and a quick admission to hospital are highly important. In patients with the ST elevation, we immediately attempt a recanalisation of the thrombosed coronary artery either with thrombolytic therapy or primary angioplasty. All other patients are submitted to treatment with antiaggregation, anticoagulation and antianginal therapy. Patients older than 70 and those with angina occurring at rest and with ST depression, especially in cases of increased troponin values, are considered as high-risk cases. The prognosis for such patients can be improved by invasive approach (early coronary angiography and angioplasty) and by administering platelet Ilb/Illa antagonists.
Descriptors		CORONARY DISEASE ANGINA, UNSTABLE MYOCARDIAL INFARCTION DEATH, SUDDEN, CARDIAC ECHOCARDIOGRAPHY THROMBOLYTIC THERAPY ANGIOPLASTY, TRANSLUMINAL, PERCUTANEOUS CORONARY