REINFARKT MIOKARDA-PRIKAZ SLUČAJA

Olja Mirković; Verica Vukićević; Marija Radulović

doi:10.5937/halo31-57556

Olja Mirković Zavod za urgentnu medicinu Beograd https://orcid.org/0009-0003-6700-2342
Verica Vukićević Zavod za urgentnu medicinu Beograd https://orcid.org/0000-0002-1469-7617
Marija Radulović Zavod za urgentnu medicinu Beograd https://orcid.org/0009-0008-8488-7038

DOI: https://doi.org/10.5937/halo31-57556

Ključne reči: Akutni infarkt miokarda, reinfarkt, prehospitalni tretman.

Sažetak

Uvod: Prema Četvrtoj univerzalnoj definiciji infarkta miokada (IM), termin ″reinfarkt″ se klinički koristi za IM koji se javlja u roku od 28 dana od incidentnog ili ponovljenog IM. Odlikuje se ponovnim javljanjem anginoznog bola, porastom kardiospecifičnih enzima i promenama u elektrokardiogramu.

Cilj rada: Ukazati na značaj ranog prepoznavanja i postavljanja prehospitalne radne dijagnoze reinfarkta miokarda nastalog ubrzo nakon prvog IM, sa implikacijom na pozitivan ishod pacijenta.

Prikaz bolesnika: Broj 194 poziva pacijentkinja starosti 64 godine, zbog naglonastalog bola u grudima koji je praćen povraćanjem. Dva dana ranije otpuštena iz bolnice nakon hospitalizacije zbog IM prednjeg zida. Na EKG zapisu uočavaju se promene ST segmenta koje ukazuju na akutni IM anterolateralne lokalizacije. Ordinirana odgovarajuća terapija, i pod monitoringom vitalnih parametara transportovana u dežurnu angio salu na dalju dijagnostiku i lečenje reinfarkta miokarda.

Zaključak: Brza i pravovremena dijagnostika reinfarkta, imaju ključnu ulogu u daljem lečenju pacijenta.

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