Cardiologia Croatica, Vol. 6 No. 9-10, 2011.
Original scientific paper
Management of acute coronary syndrome in Požega General County Hospital
Vladimir Dujmović
; Požega General County Hospital, Požega, Croatia
Ile Raštegorac
; Požega General County Hospital, Požega, Croatia
Ivan Barišić
; Požega General County Hospital, Požega, Croatia
Abstract
In this article we presented the management
of patients with acute coronary syndrome (ACS) in Poæega-
Slavonia county region with short review of historical compendium
of therapeutic strategies after foundation of Coronary
Care Unit until today. Particular emphasis was placed on
structure of patients with ACS during 2009 year and on inhospital
mortality. Since our county region was not actively included
in the Croatian primary percutaneous coronary intervention
(PCI) network at that time, management for patients
with acute ST segment elevation myocardial infarction was
systemic fibrinolysis with subsequently performed PCI within
24-48 hours. In patients with acute non-ST-segment elevation
myocardial infarction and unstable angina pectoris, the management
depends on risk stratification, after initial conservative
treatment we mostly insist on promptly performed interventional
treatment. The results of this therapeutic strategy for
ACS patients were comparable with the results of the regions
which were actively included in the Croatian primary PCI network.
Keywords
acute coronary syndrome; inhospital mortality; primary percutaneous coronary intervention; Croatia
Hrčak ID:
71838
URI
Publication date:
20.9.2011.
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