Spazam koronarne arterije – jedan medicinski entitet sa različitim terapijskim opcijama
Sažetak
Apstrakt
Uvod. Infarkt miokarda se karakteriše kritičnom ishemijom miokarda praćenom ireverzibilnim oštećenjem ili smrću ćelija. Prikazi bolesnika. Prikazali smo dva slična klinička slučaja bolesnika sa dijagnozom infarkta miokarda sa elevacijom ST segmenta (STEMI), oba sa vazospazmom koronarnih arterija, ali sa različitim terapijskim pristupom, zbog različitih osnovnih patofizioloških supstrata i kliničkih prezentacija. Zaključak. Spazam koronarne arterije je veoma kompleksan patofiziološki entitet, sa različitim terapijskim opcijama. Iako perkutana koronarna intervencija može biti prvi izbor, strategija lečenja ipak treba da bude pažljivo isplanirana.
Reference
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