PREHOSPITAL DETECTION OF AN ACUTE MYOCARDIAL INFARCTION WITH ST SEGMENT ELEVATIONIN A COVID-19 POSITIVE PATIENT

  • Slađana Lj Anđelić
  • Goran Čolaković Gradski zavod za hitnu medicinsku pomoć Beograd
  • Nada A Emiš-Vandlik Gradski zavod za hitnu medicinsku pomoć Beograd
  • Ivana Đikić Anđelić Gradski zavod za hitnu medicinsku pomoć Beograd
  • Nevenka Veličković
  • Miroljub Jeremić DZ Voždovac
  • Marina Ivanović Tanasijević DZ Voždovac
Ključne reči: pandemija, COVID 19, STEMI, diferencijalna dijagnoza, lična zaštita

Sažetak


Cilj I tokom pandemije COVID 19, bolesnici mogu razviti simptome STEMI. Prikazujemo COVID 19 pozitivnog pacijenta sa prehospitalnim STEMI, diferencijalno dijagnostičkim nedoumicama tokom hospitalizacije i primeni strategije visokog nivoa bezbednosti zdravstvenih radnika tokom zbrinjavanja.Prikaz bolesnika Ekipa HMP je transportovala bolesnika zbog sumnje na STEMI iz ambulante DZ u salu za kateterizaciju. Bolesnik je pregledan zbog anginoznog bola u sredogruđu. Epidemiološka ankete na COVID-19 negativna. Pri pregledu: GKS 15, subfebrilan, normotenzivan, normokardan, eupnoičan, SaO2 98%. Na EKG STEMI lateralne lokalizacije. Plasirana iv linija, ordinirana dvojna antiagregaciona terapija. Rapid testom je corona pozitivan. Transportovan direktno u salu za kateterizaciju covid bolnice. Uz STEMI, razmatrane su i druge diferencijalno-dijagnostičke dijagnoze. Kao definitivna, postavljena je dijagnoza Angina pectoris, non specificata. Zdravstveni radnici su na svim nivoima koristili ličnu zaštitnu opremu. Zaključak Ponekad prehospitalni STEMI nije i definitivnu dijagnozu. Preporučuje se strategija visokog nivoa bezbednosti zdravstvenih radnika.

Reference

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Objavljeno
2020/08/28
Rubrika
Prikaz bolesnika