ISSN: 1305-3876
Dil: Türkçe
Hakkında: Özel sayılar şeklinde yayınlanır.
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Immediate Revascularizations
Dr. Tamer TÜRK,a Dr. İlker KİRİŞ,b Dr. Ahmet ÖCALb
aKalp ve Damar Cerrahisi Kliniği, Bursa Yüksek İhtisas Eğitim ve Araştırma Hastanesi, BURSAbKalp ve Damar Cerrahisi AD, Süleyman Demirel Üniversitesi Tıp Fakültesi, ISPARTA
Acute coronary ischemia is a disease associated with significant morbidity and mortality and nowadays is mostly named as acute coronary syndrome. The acute coronary syndromes include a variety of clinical scenarios ranging from unstable angina and myocardial infarction without persistent-ST-segment elevation, and myocardial infarction with persistent-STsegment elevation to cardiogenic shock. A plenty of new pharmacological and technical approaches to acute coronary syndromes have been introduced into clinical practice in recent years and this has arised a significant heterogeneity in the management and treatment of patients with acute coronary syndromes.
Revascularization strategies in the early phase of treatment of acute coronary syndrome aim to rapidly normalise and maintain tissue perfusion. Primary angioplasty and coronary artery bypass grafting are probably the best current treatment.Both treatment strategies demonstrated benefits, saving lives and reducing left ventricular damage. The mega-trials have sent a clear message that the greatest benefits are seen with patients who are treated early.
Immediate coronary angiography is an efficient approach for the acute coronary syndrome patient for defining the coronary artery anatomy and for identifying subsets of high-risk patients who may benefit from early revascularization by either percutaneous coronary intervention or coronary artery bypass grafting. Today, even in the context of an acute myocardial infarction, rapid and early revascularization can provide the preservation of viable myocardium and a reduction in mortality and morbidity.Keywords: Myocardial infarction; angina, unstable; angioplasty, transluminal, percutaneous coronary;coronary artery bypassTurkiye Klinikleri J Surg Med Sci 2007, 3(7):9-17
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