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Tytuł:
Assessment of awareness of post-hospital rehabilitation need in patients after acute coronary syndrome and after stroke
Autorzy:
Szalewska, Dominika
Dudaniec-Tarkowska, Agnieszka
Zieliński, Piotr
Powiązania:
https://bibliotekanauki.pl/articles/990847.pdf
Data publikacji:
2017
Wydawca:
Instytut Medycyny Wsi
Tematy:
rehabilitation
acute coronary syndrome
stroke
Opis:
Introduction. Acute coronary syndrome (ACS) and stroke are the leading causes of mortality and long-term morbidity across the world. Post-hospital rehabilitation (PHR) is strongly recommended in both groups. Objective. The purpose was assessment of awareness of the PHR need in patients after ACS and after ischaemic stroke (IS). Materials and method. The study included 60 patients (17 F, 43 M), 62 ± 13.6 years of age, admitted to hospital due to ACS (n=30 pts) or IS (n=30 pts). A cross-sectional survey was carried out in order to evaluate awareness of the PHR need through a questionnaire composed of 14 one-choice answer questions. Results. There was no significant correlation between place of residence and willingness to participate in the PHR programme: 69.2% (n=9) of the pts living in rural areas and 80.9% (n=38) living in the city declared their willingness to partcipate. The majority of patients declared that PHR is needed (87.5% of pts with basic educational level, 63.2% with vocational education, 61.1% with technical education, 80% with university education level). 43.3% (n=13) of pts after ACS and 66.7% (n=20) pts after IS declared they had been informed about the possibility of PHR. Altogether, 46.7% (n=14) of pts after ACS and 33.3% (n=10) after stroke understood it to be a stay in a spa; only 10% (n=3) of pts after ACS and 33.3% (n=10) after IS understood it correctly. 30% (n=9) pts after ACS and 13.3% (n=4) after IS saw it as a change in lifestyle and 13.3% (n=4) pts after ACS and 20% (n=6) after IS declared they did not know what PHR was. Conclusions. Type of place of residence and educational level had no association with the PHR need. Patients after IS were more aware than those after ACS. Increased independence was the main expectation in both groups. The majority of patients perceived PHR to consist of treatment in a spa. Too few patients were informed about the possibility of PHR.
Źródło:
Annals of Agricultural and Environmental Medicine; 2017, 24, 3
1232-1966
Pojawia się w:
Annals of Agricultural and Environmental Medicine
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Acute coronary syndrome in patients with concomitant neoplastic disease and chemotherapy. Is clinical distinctness possible?
Autorzy:
Ciszewski, Andrzej
Dąbrowski, Maciej
Bęćkowski, Maciej
Powiązania:
https://bibliotekanauki.pl/articles/1065261.pdf
Data publikacji:
2015
Wydawca:
Medical Education
Tematy:
acute coronary syndrome
chemotherapy
coronary thrombosis
endothelial dysfunction
Opis:
We present 2 cases of acute coronary syndrome in patients with concomitant neoplastic disease during chemotherapy. In both patients, we found unusual angiographic image which showed that despite the presence of very large thrombi, there were no or hardly any atherosclerotic lesions in the vessel occlusion site. Aspiration thrombectomy was successfully performed in both cases to restore coronary flow and in the second patient, two bare metal stents were also implanted. After the patients were discharged from hospital, we decided to add enoxaparin to the routine dual antiplatelet therapy of both of them. So far, no guidelines have been developed on how to manage patients with acute coronary syndrome and concomitant neoplastic diseases while on chemotherapy.
Źródło:
OncoReview; 2015, 5, 3; A100-102
2450-6125
Pojawia się w:
OncoReview
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Obesity – is it really so bad for a patient with coronary heart disease?
Autorzy:
Pogorzelski, S.
Kuźma, Ł.
Struniawski, K.
Wróblewski, D.
Gajewska_Bachórzewska, H.
Dobrzycki, S.
Powiązania:
https://bibliotekanauki.pl/articles/1918824.pdf
Data publikacji:
2018
Wydawca:
Uniwersytet Medyczny w Białymstoku
Tematy:
Obesity
body mass index
acute coronary syndrome
Opis:
According to American Obesity Medicine Association obesity is a chronic, relapsing, multifactorial, neurobehavioral disease, wherein an increase in body fat promotes adipose tissue dysfunction and abnormal fat mass physical forces, resulting in adverse metabolic, biomechanical, and psychosocial health consequences. Obesity has been renowned as a risk factor of cardiovascular, endocrinological, orthopedic and many other diseases. But for the last two decades, there have been many reports of beneficial influence of overweight or obesity on patients with coronary heart disease. This phenomenon got a name of obesity paradox. It’s existence is a matter of lively discussion in medical world, and even if true, the protecting mechanisms of obesity need much deeper understanding.
Źródło:
Progress in Health Sciences; 2018, 8(2); 194-201
2083-1617
Pojawia się w:
Progress in Health Sciences
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Acute coronary syndrome in cancer patients. Part II: invasive and conservative treatment options, takotsubo syndrome problem
Autorzy:
Piotrowski, Grzegorz
Powiązania:
https://bibliotekanauki.pl/articles/1035854.pdf
Data publikacji:
2020-10-30
Wydawca:
Medical Education
Tematy:
acute coronary syndrome
cardio-oncology
treatment strategies
Opis:
Acute coronary syndrome (ACS) and oncological disease are more frequently observed in the general population as discussed in the part I of this article. Treatment of myocardial infarction in oncological patients becomes a real struggle for clinicians, especially that the data from clinical trials including cancer patients with ACS are very limited. The choice of treatment modality should consider many existing factors considering the type of ACS – non-ST-segment elevation myocardial infarction vs ST-segment elevation myocardial infarction, patient’s condition, type of cancer and oncological treatment applied. Taking into consideration above mentioned factors, clinicians have to face three therapeutic options: invasive, conservative or combination of both in order to choose the best and most beneficial treatment. This article summarizes the current therapeutic approach to the management of ACS in cancer patients.
Źródło:
OncoReview; 2020, 10, 3; 89-97
2450-6125
Pojawia się w:
OncoReview
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Eptifibatide induced acute thrombocytopenia. Case report of 80- years old man with acute coronary syndrome
Autorzy:
Kuźma, Ł.
Pogorzelski, S.
Wróblewski, D.
Struniawski, K.
Róg-Makal, M.
Nowak, K.
Matys, U.
Gajewska-Bachórzewska, H.
Dobrzycki, S.
Powiązania:
https://bibliotekanauki.pl/articles/1918779.pdf
Data publikacji:
2018
Wydawca:
Uniwersytet Medyczny w Białymstoku
Tematy:
Thrombocytopenia
glycoprotein IIb/ IIIa inhibitors
acute coronary syndrome
Opis:
Introduction: Glycoprotein (Gp) IIb/IIIa is a platelet receptor participating in platelet aggregation. According to ESC guidelines, glycoprotein IIb/IIIa inhibitors might be considered during percutaneous coronary interventions in patients with the acute coronary syndrome. Purpose: A case study of profound thrombocytopenia in 80-year-old man with the acute coronary syndrome. Case presentation: An 80-year-old, medicationnaive man with acute coronary syndrome was admitted to the Department of Invasive Cardiology. Due to the unsuccessful invasive strategy, an intracoronary bolus of Gp IIb/IIIa inhibitor – eptifibatide - was administered. During the following intravenous infusion, large subcutaneous hematomas were observed. Eptifibatide infusion was discontinued. Drop in platelet count to 1 thou/μL without significant anemia was registered. A control sample in sodium citrate showed similarly low platelet count - 2 thou/uL. Acetylsalicylic acid and clopidogrel were discontinued, steroids were introduced. Neither PLT nor FFP transfusion were necessary. Consecutive lab tests showed the gradual increase of PLT up to 35 thou/μL at discharge. A week later, the patient did not complain of any cardiovascular or bleeding symptoms; hematomas resented significant involution. Laboratory findings were normal. During follow-up visit 30 days after the discharge, the patient presented no cardiovascular symptoms. Conclusions: There are patients at risk of druginduced thrombocytopenia, especially those with impaired kidney function and the elderly. In such cases, decisions concerning anti-platelet and antithrombotic therapy should be taken cautiously. Because of its rare occurrence, every case of severe thrombocytopenia in ACS patients should be reported. Moreover, such patients should be followed-up to minimalize risk of similar adverse events in the future.
Źródło:
Progress in Health Sciences; 2018, 8(2); 234-238
2083-1617
Pojawia się w:
Progress in Health Sciences
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Work-related outcome after acute coronary syndrome: Implications of complex cardiac rehabilitation in occupational medicine
Autorzy:
Lamberti, Monica
Ratti, Gennaro
Gerardi, Donato
Capogrosso, Cristina
Ricciardi, Gianfranco
Fulgione, Cosimo
Latte, Salvatore
Tammaro, Paolo
Covino, Gregorio
Nienhaus, Albert
Garzillo, Elpidio Maria
Mallardo, Mario
Capogrosso, Paolo
Powiązania:
https://bibliotekanauki.pl/articles/2177418.pdf
Data publikacji:
2016-06-03
Wydawca:
Instytut Medycyny Pracy im. prof. dra Jerzego Nofera w Łodzi
Tematy:
depression
rehabilitation
workers
acute coronary syndrome
counseling
anxiety
Opis:
Objectives Coronary heart disease is frequent in the working-age population. Traditional outcomes, such as mortality and hospital readmission, are useful for evaluating prognosis. Fit-for-work is an emerging outcome with clinical as well as socioeconomic significance. We describe the possible benefit of a cardiac rehabilitation (CR) program for return to work (RTW) after acute coronary syndrome (ACS). Material and Methods We evaluated 204 patients with recent ACS. They were divided into 4 groups on the basis of their occupational work load: very light (VL), light (L), moderate (M), and heavy (H). Work-related outcomes were assessed with the Work Performance Scale (WPS) of the Functional Status Questionnaire and as “days missed from work” (DMW) in the previous 4 weeks. The variables considered for outcomes were percent ejection fraction, functional capacity expressed in metabolic equivalents (METs), and participation or non-participation in the CR program (CR+ and CR–). Results One hundred thirty (66%) patients took part in the CR program. Total WPS scores for CR+ and CR– subgroups were VL group: 18±4 vs. 14±4 (p < 0.001), L group: 18±3 vs. 14±3 (p < 0.0001), M group: 19±3 vs. 16±3 (p < 0.003), and H group: 20±4 vs. 17±3 (p < 0.006). Fewer DMW were reported by the CR+ group. Conclusions Non-participation in CR was a consistent cause of poorer work-related outcomes. Our findings indicate that CR and occupational counseling play a very important role in worker recovery and subsequent reintegration in the workplace, in particular among clerical workers.
Źródło:
International Journal of Occupational Medicine and Environmental Health; 2016, 29, 4; 649-657
1232-1087
1896-494X
Pojawia się w:
International Journal of Occupational Medicine and Environmental Health
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Kounis syndrome associated with Moxifloxacin infusion in a patient with COVID-19 pneumonia: a case report
Autorzy:
Tverdokhlib, Ivan
Skakun, Oleksiy
Fedorov, Sergiy
Verbovska, Olga
Kozlova, Irena
Martyniv, Ilona
Powiązania:
https://bibliotekanauki.pl/articles/29432072.pdf
Data publikacji:
2021-06
Wydawca:
Towarzystwo Pomocy Doraźnej
Tematy:
Kounis syndrome
acute coronary syndrome
COVID-19
coronary vasospasm
case report
Opis:
Kounis syndrome (KS) is an acute coronary syndrome developing as a consequence of an anaphylactic or allergic reaction. Multiple mediators (especially histamine) released by mast cells, platelets, and some immune cells may lead to coronary vasospasm or thrombosis and cause an acute coronary syndrome. A clinical case of the KS in a hospitalized patient being treated for the COVID-19-associated pneumonia is presented. A 62-year-old woman was treated for COVID-19-associated pneumonia. In 15 min after the beginning of the Moxifloxacin infusion, the patient complained of severe headache, crushing chest pain, abdominal pain, severe general weakness, shortness of breath. Hypotension and decrease in SpO2 developed. Immediately performed ECG showed the ST-segment elevation in leads I and aVL. There were reciprocal changes in leads III, aVF, V3-V6. Troponin I was slightly elevated. Coronary angiography showed no hemodynamically significant coronary artery lesions. The KS type 1 was diagnosed. Repeated ECG in 2 hours showed isoelectric ST segments in all leads. It may be difficult to diagnose KS. Clinical signs of an allergic or anaphylactic reaction should raise the suspicion of KS. Moxifloxacin as well as other fluoroquinolones may be associated with the development of KS. We suggest a possible association of COVID-19 with KS. However, this issue requires further observation.
Źródło:
Critical Care Innovations; 2021, 4, 2; 32-37
2545-2533
Pojawia się w:
Critical Care Innovations
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
To determine the prognostic accuracy of the HEART score as a predictor for major adverse cardiac events in patients presenting with chest pain to emergency department in a tertiary care hospital
Autorzy:
Krishna, Penagaluru Pranay
Velavarthipati, Ravi Sankar
Srikanth, Midde
Krishna, B Skanda Gopala
Sriramula, Nayan
Goud, Dabbi Praveen Kumar
Powiązania:
https://bibliotekanauki.pl/articles/29432050.pdf
Data publikacji:
2023-03
Wydawca:
Towarzystwo Pomocy Doraźnej
Tematy:
Acute coronary syndrome
emergency department
chest pain
score
HEART
Opis:
INTRODUCTION: One of the main causes of sudden cardiac death in the emergency department is myocardial infarction. Although there are several scores that helped predict an identified acute coronary incident, there was no quantitative tool available to risk stratifying patients with chest pain to support more decisions. The study is aimed to determine the prognostic accuracy of the HEART score as a predictor for major adverse cardiac events in patients presenting with chest pain to the emergency medicine department (ED). MATERIAL AND METHODS: Study included 83 adult patients presenting with Acute Myocardial Infarction who had chest pain attending to the ED were studied their HEART score to predict major adverse cardiac events. RESULTS: 60.24% of males and 39.76% of females with mean age of 57.83 ± 12.85 years were presented to ED. 44.56% had hypertension, 46.99% of diabetes mellitus, 21.69% of smoking, 16.87% of alcoholism, 4.82% of obesity, and 3.61% of patients with family history of cardiac diseases. 28.92% had non-specific repolarization, and 33.73% of patients had significant ST-Depression. According to Heart score, 26.51% of patients had low risk, 39.76% of patients had moderate risk, and 33.73% of patients had high risk. More percentage of male patient’s (67.9%) were in the high risk group of heart score than females (32.1%). ST-Depression cases were more in the high risk group (85.7%), and statistical significant association seen between ECG and the heart score (P<0.0001). among risk factors, Hypertension and Diabetes mellitus patients was more in the high risk groups with 48.6%, and 53.8% (P=0.001). 100% of high risk cases had ≥3 x normal limit of troponin, and there was a statistically association seen between troponin and heart score (P<0.0001). Diagnosis of HEART score of the low risk group showed that the risk factor had significantly higher AUC value (AUC = 0.801) than the age group (AUC = 0.778), history (AUC = 0.747), Troponin (AUC = 0.738), and ECG (AUC = 0.722). Out of 22 cases of the low risk group, 6 of Unstable angina (UA), 16 of NSTEMI, 4 of Percutaneous coronary intervention (PCI), 2 CABG, and 1 cardiovascular (CV) death. For moderate risk group (n=33), 13 of UA, 17 of NSTEMI, 3 of STEMI, 20 of PCI, 14 of CABG, and 12 of CV deaths. For high risk group (n=28), 10 UA, 14 of NSTEMI, 3 of STEMI, 9 of PCI, 6 of CABG, and 4 number of CV death. CONCLUSIONS: It was concluded that the HEART score should be used as the primary clinical decision tool for the risk stratification and a good predictor of major adverse cardiac events in patients presenting with chest pain to the emergency department to promote their safe and efficient nature in a community hospital setting.
Źródło:
Critical Care Innovations; 2023, 6, 1; 1-16
2545-2533
Pojawia się w:
Critical Care Innovations
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
White blood cells count and its populations in patients with acute coronary syndromes and co-morbidities
Autorzy:
Vakaliuk, Igor
Alghzawi, Iyad
Powiązania:
https://bibliotekanauki.pl/articles/29432078.pdf
Data publikacji:
2021-06
Wydawca:
Towarzystwo Pomocy Doraźnej
Tematy:
Acute coronary syndrome
white blood cells
hypertension
diabetes mellitus
Opis:
INTRODUCTION: Acute coronary syndromes (ACS) and sudden death cause most ischemic heart disease (IHD)- related deaths, which represent 1.8 million deaths per year, with similar numbers of men and women dying from coronary artery disease (CAD). It’s known that inflammation plays crucial role in atherosclerotic plaque formation and its destabilization. The purpose of this study is to evaluate of white blood cells count in its subpopulation in patients with ACS and modifiable cardiovascular risk factors – arterial hypertension and 2 type Diabetes Mellitus (DM). MATERIAL AND METHODS: In this observational cohort trial we observed of 184 patients with ACS. All patients were randomized into four groups: 1st group - 42 patients with ACS without arterial hypertension (AH) or DM; 2nd group – 56 patients with ACS and previous AH; 3rd group – 42 patients with ACS and 2 type DM; and 4th group – 44 patients with ACS and AH and DM. We studied of leukocytes count and their subpopulations in blood. RESULTS: The mean white blood cells count was significant higher in patients with ASC, compared with control group: 8.23 [6.50; 9.40] vs 5.49 [5.20; 5.70] (p<0.001). Similarly, ACS caused increase of leukocytes subpopulation count in blood. The significant higher count of white blood cells was observed in patients with ACS and co-morbidities: 2 type DM and its association with AH. In patients with ACS and previous AH we observed significant lower neutrophils count (p<0.05), but increased quantity of lymphocytes, compared with patients with ACS without co-morbidities (p<0.001). DM and its association with AH was characterized of neutrophils, lymphocytes and monocytes counts growth. CONCLUSIONS:ACS is characterized of raised white blood cells count and its population, especially in cases of association with 2 type Diabetes Mellitus.
Źródło:
Critical Care Innovations; 2021, 4, 2; 1-7
2545-2533
Pojawia się w:
Critical Care Innovations
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
An expert system supporting risk stratification in acute coronary syndromes
Autorzy:
Grabowski, M.
Filipiak, K. J.
Rudowski, R.
Opolski, G.
Powiązania:
https://bibliotekanauki.pl/articles/1965787.pdf
Data publikacji:
2004
Wydawca:
Politechnika Gdańska
Tematy:
expert system
decision making
acute coronary syndrome
risk stratification
Opis:
The aim of the project was to create a computer program, an expert system (ES), which would support physicians when a management for patients with acute coronary syndrome needs to be chosen. A knowledge database was created with the support of clinical experts, based on the current management standards. Data from new patients are added to the case database. The inference engine integrates two types of reasoning rule-based and case-based. The ES gives unambiguous and objective answers, its recommendation are reliable. At present, the ES is tested in clinical practice. Strategies recommended by the ES are compared with the management applied in a clinic.
Źródło:
TASK Quarterly. Scientific Bulletin of Academic Computer Centre in Gdansk; 2004, 8, 2; 281-286
1428-6394
Pojawia się w:
TASK Quarterly. Scientific Bulletin of Academic Computer Centre in Gdansk
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Acute coronary syndrome in cancer patients. Part I: pathophysiology, clinical presentation and diagnosis
Autorzy:
Piotrowski, Grzegorz
Powiązania:
https://bibliotekanauki.pl/articles/1035634.pdf
Data publikacji:
2020-06-30
Wydawca:
Medical Education
Tematy:
acute coronary syndrome
cardio-oncology
cardiotoxicity
cardiovascular complications
chemotherapy
Opis:
Coexistence of cardiovascular diseases and cancer is more and more common in everyday practice. This is due to the aging of the population and the fact that most of the classic cardiovascular risk factors also predispose to cancer. During anti-cancer treatment, cardiovascular components may be damaged and eventually lead to acute coronary syndrome. The first part of the review article presents the pathophysiology, clinical presentation and key elements of the diagnostic process of this life-threatening condition in cancer patients.
Źródło:
OncoReview; 2020, 10, 2; 41-47
2450-6125
Pojawia się w:
OncoReview
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Acute coronary syndromes in oncology: conservative or invasive strategies? Case study and literature review
Autorzy:
Wilk, Michał
Walaszkowska-Czyż, Anna
Rak, Arkadiusz
Piłka, Michał
Szmit, Sebastian
Powiązania:
https://bibliotekanauki.pl/articles/1035837.pdf
Data publikacji:
2018
Wydawca:
Medical Education
Tematy:
acute coronary syndrome without ST-elevation
antiplatelet therapy
cancer
Opis:
We present the case of a 70-year-old male patient with metastatic and castration-resistant prostate cancer as well as advanced bladder cancer, who suffered a non-ST-elevation myocardial infarction (NSTEMI). The cause of ischemia was critical left main stem stenosis, and right coronary artery stenosis. Initially, the patient was qualified for conservative treatment, but due to the intensifying symptoms of myocardial ischemia, it was decided that a hemodynamic intervention was necessary. Two drug-eluting stents were implanted, leading to clinical improvement. Following the treatment, the patient was considered as a candidate for further anti-cancer therapy. Unfortunately, due to the bladder cancer progression, anaemia and haemorrhage, his clinical condition exacerbated, and the patient died about 1 month from the cardiac intervention. Apart from the case description, the paper includes a review of literature on the treatment of acute coronary syndromes without ST-segment elevation in cancer patients.
Źródło:
OncoReview; 2018, 8, 1; 5-10
2450-6125
Pojawia się w:
OncoReview
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Ostre zespoły wieńcowe
Acute coronary syndromes
Autorzy:
Ochyńska, Olga
Pieniacka, Magdalena
Powiązania:
https://bibliotekanauki.pl/articles/470130.pdf
Data publikacji:
2012
Wydawca:
Europejskie Centrum Kształcenia Podyplomowego
Tematy:
ostry zespół wieńcowy
choroba
zdrowie
acute coronary syndrome
disease
health
Opis:
Ostry zespół wieńcowy jest coraz częściej występującą chorobą, dotykającą coraz młodsze osoby. Najczęściej choroba ta wywoływana jest przez samych chorych, którzy prowadzą nieodpowiedni tryb życia, ze zbyt dużą ilością stresu, nieprawidłową dietą oraz unikają kontaktu z lekarzem. Wraz z postępem medycyny można szybciej wdrożyć odpowiednie leczenie, a nawet zapobiegać chorobie. Celem naszej pracy było przedstawienie problemu, jakim są ostre zespoły wieńcowe, ich następstwa oraz wykazanie, że nasze zdrowie jest zależne od naszego trybu życia.
Acute coronary syndromes is more occurring disease, which is affecting younger people. Mostly this disease is caused by patients, who have wrong lifestyle with a lot of stress, wrong diet and they don’t go to the physician. With medicine progress we can earlier implement right treatment even we can prevent disease. The target of our work was showing the problem which is acute coronary syndromes, their aftermaths and show that our health is dependent from our lifestyle.
Źródło:
Współczesne Pielęgniarstwo i Ochrona Zdrowia; 2012, 2; 40-44
2084-4212
Pojawia się w:
Współczesne Pielęgniarstwo i Ochrona Zdrowia
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Survival in sudden cardiac arrest in emergency room: case-control study
Przeżywalność w nagłym zatrzymaniu krążenia na szpitalnym oddziale ratunkowym: badanie kliniczno-kontrolne
Autorzy:
Sosnowska-Mlak, Oliwia
Curt, Nicolas
Pinet Peralta, Luis M.
Powiązania:
https://bibliotekanauki.pl/articles/1033048.pdf
Data publikacji:
2019
Wydawca:
Towarzystwo Pomocy Doraźnej
Tematy:
acute coronary syndrome
emergency room
heart failure
sudden cardiac arrest
Opis:
INTRODUCTION: Systematic analysis of risk factors, causes of sudden death and patient survivability allows implementation of increasingly effective methods and procedures for emergency cardiac arrest (SCA). The conditions of the emergency room (ER) allow for initial medical imaging and laboratory diagnostics, which facilitate the assessment of critical parameters that may be a predictor of SCA. The aim of the study is to determine the survival level of patients with SCA that were staying in ER and to indicate the factors that increase the likelihood of SCA. MATERIAL AND METHODS: The study was conducted in 2018 based on medical records of SOR in 73 patients with sudden cardiac arrest in SOR. Descriptive statistics and data analysis were performed using parametric tests (Pearson test). The level of significance was determined for p <0,05. RESULTS: The average age of SOR patients was 72 years (SD ± 16.29). In most cases, the patients were brought to the ER by the EMS. Sinus rhythm dominated in ECG tests,before the onset of SCA,. The ECG mechanisms in which SCA occurred were: asystole (50.7%), PEA (32.9%) and VF / pVT (16.4%), respectively. Among half of the patients (50.7%) of ER spontaneous circulation was restored, while 49.3% of ER patients were fatal. The relationship between mortality and O2 partial pressure, methanol, MPV, D-dimer, pH and HCO3 has been demonstrated. CONCLUSIONS: In the examined group of patients with SCA,non-defibrillatory rhythms (asystole, PEA) dominate. Half of the patients manage to achieve ROSC under ER conditions. There are predictors of SCA in patients in ER.
WSTĘP: Systematyczna analiza czynników ryzyka, przyczyn nagłej śmierci oraz przeżywalności pacjentów pozwala na wdrażanie coraz skuteczniejszych metod i procedur postępowania w nagłym zatrzymaniu krążenia (NZK). Warunki Szpitalnego Oddziału Ratunkowego pozwalają na wstępną diagnostykę obrazową i laboratoryjną, co pozwala na ocenę parametrów krytycznych, mogących stanowić czynnik predykcyjny nagłego zatrzymania krążenia. Celem pracy jest określenie poziomu przeżywalności pacjentów z NZK przebywających w SOR oraz wskazanie czynników wpływających na wzrost prawdopodobieństwa wystąpienia nagłego zgonu sercowego. MATERIAŁ I METODY: Badanie zostało przeprowadzone w 2018 r. na podstawie dokumentacji medycznej SOR-u 73 pacjentów z nagłym zatrzymaniem krążenia na SOR. Dokonano statystyki opisowej oraz analizy danych za pomocą testów parametrycznych (test Pearsona). Poziom istotności ustalono dla p<0,05. WYNIKI: Średnia wieku pacjentów SOR-u wynosiła 72 lata (SD ± 16,29). W większości przypadków chorzy zostali przywiezieni na SOR przez zespół ratownictwa medycznego (ZRM). Przed wystąpieniem NZK w badaniach EKG dominował rytm zatokowy. Mechanizmy EKG, w jakim doszło do NZK to kolejno: asystolia (50,7%), PEA (32,9%) oraz VF/pVT (16,4%). U ponad połowy pacjentów (50,7%) SOR nastąpił powrót spontanicznego krążenia, natomiast u 49,3% pacjentów SOR odnotowano zgon. Wykazano zależność śmiertelności od ciśnienia parcjalnego O2, poziomu metanolu, MPV, D-dimerów, pH oraz HCO3. WNIOSKI: W przebadanej grupie pacjentów z NZK na SOR, zdecydowanie dominują rytmy niedefibrylacyjne (asystolia, PEA). U połowy pacjentów udaje się uzyskać ROSC w warunkach SOR. Istnieją czynniki predykcyjne występowania nagłej śmierci sercowej u pacjentów przebywających w SOR.
Źródło:
Critical Care Innovations; 2019, 2, 3; 1-10
2545-2533
Pojawia się w:
Critical Care Innovations
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Acute coronary syndrome associated with NIGRO protocol in anal cancer
Ostry zespół wieńcowy związany z protokołem NIGRO w przebiegu raka odbytu
Autorzy:
Antonopoulos, Athanassios
Luisi, Giovanni Andrea
Powiązania:
https://bibliotekanauki.pl/articles/1033109.pdf
Data publikacji:
2019
Wydawca:
Towarzystwo Pomocy Doraźnej
Tematy:
5-FU cardiotoxicity
NIGRO protocol.
acute coronary syndrome
anal cancer
Opis:
5-fluorouracil (5-FU) cardiotoxicity is not a common, but with potentially deleterious effects on the patient condition. In this paper we present the case of an 53-year-old woman undergone local resection for localized anal cancer and then she was treated with NIGRO protocol. 48 hours after the end of 5-FU i.v. administration an acute coronary syndrome was developed. The electrocardiogram showed hyperacute T waves in all leads except for V1 and aVL that showed negative T waves in combination with chest pain and diaphoresis promptly resolved after sublingual isosorbide dinitrate. A subsequent coronary angiography was performed and normal coronary arteries were shown. The potential causes and the treatment are being discussing.
Kardiotoksyczność 5-fluorouracylu (5-FU) nie jest powszechna, lecz może wykazywać niekorzystny wpływ na stan pacjenta. W artykule przedstawiono przypadek 53-letniej kobiety, która przeszła miejscową resekcję z powodu zlokalizowanego raka odbytu, a następnie była leczona protokołem NIGRO. 48 godzin po zakończeniu dożylnej podaży 5-FU wystąpił ostry zespół wieńcowy. Elektrokardiogram pokazał hiperostre załamki T we wszystkich odprowadzeniach, z wyjątkiem odprowadzeń V1 i aVL, wraz z ujemnymi załamkami T. Wystąpił także ból w klatce piersiowej, który ustąpił po podjęzykowym diazotanie izosorbidu. Wykonano kolejną angiografię wieńcową i ukazano prawidłowe tętnice wieńcowe. Dyskutowane są potencjalne przyczyny i leczenie przypadku.
Źródło:
Critical Care Innovations; 2019, 2, 4; 36-43
2545-2533
Pojawia się w:
Critical Care Innovations
Dostawca treści:
Biblioteka Nauki
Artykuł
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