EKS pacientiem pēc miokarda infarkta – klīniskie iznākumi.
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Date
2022
Authors
Journal Title
Journal ISSN
Volume Title
Publisher
Rīgas Stradiņa universitāte
Rīga Stradiņš University
Rīga Stradiņš University
Abstract
Miokarda infarkts (MI) tiek definēts kā akūta miokarda bojājums, kas tiek pieradīts ar patoloģiski palielinātiem sirds biomarķieriem ar akūtas miokarda išēmijas klīniskām pazīmēm. Miokarda infarkts ir viens no terminiem, kuru sevī iekļauj akūts koronārs sindroms (AKS). Pastāv dažādi AKS veidi, kuru sadalījums ir atkarīgs no okludēta asinsvada lieluma, oklūzijas pakāpes, miokarda bojājuma.
Visas MI variācijas dzīvībai bīstami un ir saistīti ar virkni komplikāciju gan notikuma brīdī, gan pēc veiktas revaskularizācijas. Vieni no tiem, kas dažreiz pieprasa elektrokardiostimulācijas (EKS) terapiju, ir MI asociētie vadīšanas ritma traucējumi, it īpaši bradiaritmijas un potenciāli progresējoša sirds mazspēja ar kreisā kambara izsviedes frakcijas samazināšanos.
Myocardial infarction (MI) is defined as an acute myocardial injury that is observed in combintation with pathologically elevated cardiac biomarkers and clinical signs of acute myocardial ischemia. Myocardial infarction is one of the terms included in Acute Coronary Syndrome (ACS). There are different types of ACS, different variations of which depend on the size of the occluded vessel, the degree of occlusion and myocardial damage. All variations in MI are life-threatening and are associated with a number of complications, both at the time of the event and after revascularisation. Among those, which sometimes require ECS therapy are MI-associated arrhythmias, in particular- bradyarrhythmias and potentially progressing heart failure, with decreased fraction of left ventricular ejection.
Myocardial infarction (MI) is defined as an acute myocardial injury that is observed in combintation with pathologically elevated cardiac biomarkers and clinical signs of acute myocardial ischemia. Myocardial infarction is one of the terms included in Acute Coronary Syndrome (ACS). There are different types of ACS, different variations of which depend on the size of the occluded vessel, the degree of occlusion and myocardial damage. All variations in MI are life-threatening and are associated with a number of complications, both at the time of the event and after revascularisation. Among those, which sometimes require ECS therapy are MI-associated arrhythmias, in particular- bradyarrhythmias and potentially progressing heart failure, with decreased fraction of left ventricular ejection.
Description
Medicīna
Medicine
Veselības aprūpe
Health Care
Medicine
Veselības aprūpe
Health Care
Keywords
EKS; MI; Miokarda infarkts; ICD; CRT; Bradikardija; SM; sirds mazspēja, Permanent pacing; ICD; CRT; MI; Myocardial infarction; Bradicardia; HF; heart failure