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stabiluri stenokardia

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antianginuri<br />

medikamentebi<br />

sublingualuri<br />

nitroglicerini<br />

anamnezi<br />

vazospastiuri<br />

anginaze<br />

(princmetalis)<br />

miuTiTebs?<br />

ara<br />

medikamentebi an<br />

mdgomareobebi<br />

iwveven an<br />

amZimeben anginas*?<br />

ara<br />

diax<br />

beta blokeriT<br />

Terapia ukuCvenebis<br />

gareSe (gansakuTrebiT<br />

MI anamnezSi)<br />

seriozuli ukuCveneba<br />

daamateT an SecvaleT<br />

kalciumis anatag.<br />

ukuCvenebis ar arsebobisas<br />

tkivili gulmkerdis areSi<br />

• CAD saSualo an maRali albaToba (>10%)<br />

• savaraudod ar aris maRali riskis CAD<br />

• riskis Sefaseba dasrulda an ar aris saWiro<br />

kalciumis anatagonistebiT,<br />

xangrZlivmoqmedi<br />

nitratebiT Terapia<br />

umkurnaleT<br />

mkurnaloba<br />

diax Sesabamisad diax Sedegiania ? diax<br />

momatebuli LDL<br />

qolesteroli an<br />

lipiduri cvlis<br />

sxva darRveva?<br />

diax mkurnaloba diax ara<br />

Sedegiania ?<br />

ara maRali arteriuli diax<br />

wneva?<br />

diax mkurnaloba diax<br />

Sedegiania ?<br />

daiwyeT ganaTlebis<br />

programa<br />

revaskularizacia<br />

seriozuli ukuCveneba ara<br />

**<br />

daamateT<br />

ara<br />

xangrZlivmoqmedi<br />

mkurnaloba<br />

diax diax<br />

nitratebi<br />

Sedegiania ?<br />

* mdgomareobebi, romlebic iwvevs an amZimebs anginas<br />

medikamenti: sxva samedicino probl: gulis sxva problema:<br />

٠vazodilatatori ٠mZime anemia ٠taqiariTmia<br />

٠farisebri j horm. ٠arakontr hipertonia ٠bradiariTmia<br />

Warbad damateba ٠hiperTiroidizmi ٠gulis sarqvl.<br />

daavadeba(AS)<br />

٠vazokonstriqcia ٠hipoqsemia ٠hipertrofiuli<br />

kardiomiopaTia<br />

mkurnalobis sqema<br />

aspirini 81-325 mg 1-jer<br />

dReSi ukuCvenebis ar<br />

arsebobisas<br />

diax<br />

sigaretis<br />

moweva<br />

ara<br />

diax<br />

dieta, varjiSi,<br />

wonaSi dakleba<br />

ACE<br />

inhibitorebi<br />

diax<br />

ukuCveneba<br />

klopidogreli<br />

mowevis Sewyveta<br />

ix. Sesabamisi gaidi NCEP<br />

ix. Sesabamisi gaidi<br />

JNC 7<br />

rutinuli Semowmeba: dieta,<br />

varjiSis programa, diabetis<br />

mkurnaloba<br />

**am daavadebis nebismier etapze koronaris anatomiis, anginis<br />

simZimis, pacientis survilis gaTvaliswinebiT SeafaseT<br />

revaskularizaciis aucilebloba, pacientebSi qronikuli stab.<br />

stenokardiis dabali riskiT revaskularizaciis efeqturoba<br />

ar aris dadasturebuli, Tu ar aris Semdegi: 3 sisxlZ, 2 sisxlZ<br />

daavadeba proqsimaluri LAD, left main stenozi,. yvela pacients<br />

unda Cautardes medikamenturi Terapia PCI , CABG Catarebamde.<br />

9

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