KARDIOCEREBRALNA INFARKCIJA

  • Jelena Stojanović GZZHMP Beograd
Ključne reči: akutni infarkt mioka akutni moždani udar, CCI

Sažetak


Uvod/ Cilj Akutni infarkt miokarda (AMI) i akutni ishemijski moždani udar (AIMU) vodeći su uzroci smrti  širom sveta. Istovremena pojava ovih stanja naziva se kardiocerebralna infarkcija (CCI). Prikazujemo kao raritet CCI detektovan na prehospitalnom nivou.

Prikaz slučaja: Predstavljen je slučaj 78-godišnje žene sa istovremenim razvojem AMI i AIMU. U prehospitalnim uslovima sumnja na kardiocerebralni infarkt postavljena je na osnovu heteroanamnestičkih podataka, kliničke slike i ST-elevacije na elektrokardiogramu. U nadležnoj zdravstvenoj ustanovi obe dijagnoze su potvrđene na osnovu MDCT endokranijuma, ultrazvučnog pregleda srca i povišenih vrednosti troponina. Primenjena je fibrinolitička terapija, međutim, došlo je do razvoja srčanog zastoja. Primenjene  mere KPR-a nisu dale adekvatan odgovor i konstatovan je letalni ishod.

Zaključak: U skoroj budućnosti treba izraditi nacionalni vodič o dijagnostici i lečenju ovog urgentnog stanja, a do tada je najbolji individulani pristup svakom pacijentu.

Reference

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Objavljeno
2021/04/27
Rubrika
Prikaz bolesnika