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  • Zdravljenje akutnega miokardnega infarkta = Treatment of acute myocardial infarction
    Remškar, Mojca ...
    The patient with acute myocardial infarction must receive oxygen, Aspirin and analgesia with morphine as soon as possible. In most patients, gliceryl trinitrate is also indicated. The doctor should ... reassure the patient and give him/her a brief explanation of the illness. Upon arrival to the hospital, onlythe most important investigation should be done before making the decisionabout reperfusion therapy. Prompt reperfusion is the most effective treatment in acute myocardial infarction. In Slovenia, thrombolytic drugs, including streptokinase, tissue plasminogen activator and urokinase, are mostly used to achieve reperfusion. In some centers, primary (direct) percutaneous transluminal coronary angioplastly has been introduced. During theacute phase of the disease, even a hemodynamically stable patient must rest in bed for the first 12 hours. After that time light physical activity can be started. During the period of bed rest, the patient should be given heparin. All patients, except those with contraindications,must be treated with a beta blocking drug and an ACE inhibitor. The course of Aspirin and beta blocking drugs should be continued indefinitely, while ACE inhibitors arediscontinued after 4 to 6 weeks if there are no additional indications. Theauthors also discuss unexpected and potentially lethal complications that may arise during the acute phase of myocardial infarction.
    Vir: Medicinski razgledi : [medicinski pregledni, strokovni in raziskovalni članki]. - ISSN 0025-8121 (Letn. 36, št. 4, 1997, str. 479-505)
    Vrsta gradiva - članek, sestavni del
    Leto - 1997
    Jezik - slovenski
    COBISS.SI-ID - 7989721

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    Digitalna knjižnica Slovenije - dLib.si

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