Medical Library - Medical Teaching Hospital, Maribor (SBMB)
13.
Akutni koronarni sindrom s prizadetostjo debla leve koronarne arterije = Acute coronary syndrome with left main coronary involvement
Balevski, Igor ; Granda, Samo ; Kanič, Vojko
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.
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