Izvorni znanstveni članak

Acute coronary syndrome and interventional cardiology in Dubrovnik 2013 as the year of professional continuity and territorial discontinuity.

Josip Lukenda orcid.org/0000-0003-2740-1464 ; Opća bolnica Dubrovnik, Dubrovnik

Sažetak

Along with the success of the Croatian Network of Primary Percutaneous Coronary Intervention, there are still ”grey zones" remaining, such as the Dubrovnik-Neretva County where the City of Dubrovnik is 210 kilometers away with two border crossings from the nearest center. Therefore, from the first of January 2013, the General Hospital Dubrovnik started a regular operation of the invasive laboratory 24 hours/7 days.
Of 361 invasive procedures in 2013, some 227 (66.8%) of them were performed in emergency patients. Among the patients with acute coronary syndrome (ACS), 33.5% had unstable angina pectoris, 39.2% had acute myocardial infarction without ST-segment elevation and 27.2% (N = 62) had acute myocardial infarction with ST-segment elevation (STEMI). Percutaneous coronary intervention (PCI) was performed in 167 patients, in 62% of all patients with ACS. 223 stents were implanted, 1.33 per procedure, in 16.2% of patients on two or more vessels, with the penetration of the drug-eluting stents in 25.6%. Among coronary patients, 30% remained on medical therapy, 55% underwent PCI and 15% of them received a recommendation for cardiac surgery. In-hospital mortality of acute myocardial infarction was 2.61%, and 4.8 % for STEMI. 2.4% stent thrombosis and 0.8% of surgically treated peripheral complications were recorded.
It is almost only the emergency patients that justify the existence of the laboratory in Dubrovnik General Hospital, along with a need for further increase in the number of elective PCI, personnel and apparatus.

Ključne riječi

acute coronary syndrome; percutaneous coronary intervention; Dubrovnik

Hrčak ID:

146872

URI

https://hrcak.srce.hr/146872

Datum izdavanja:

26.3.2014.

Podaci na drugim jezicima: hrvatski

Posjeta: 1.957 *