miokardiumis infarqti ST-segmentis elevaciis gareSe /arastabiluri ...
miokardiumis infarqti ST-segmentis elevaciis gareSe /arastabiluri ...
miokardiumis infarqti ST-segmentis elevaciis gareSe /arastabiluri ...
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definicia<br />
termini - mwvave koronaruli sindromi aerTianebs Semdeg klinikur sindromebs:<br />
arastabilur stenokardias, M<strong>miokardiumis</strong> infarqts <strong>ST</strong>-<strong>segmentis</strong> <strong>elevaciis</strong> <strong>gareSe</strong><br />
da <strong>miokardiumis</strong> infarqts <strong>ST</strong>-<strong>segmentis</strong> elevaciiT. pacientebi <strong>arastabiluri</strong><br />
stenokardiiT da <strong>miokardiumis</strong> <strong>infarqti</strong>T <strong>ST</strong>-<strong>segmentis</strong> <strong>elevaciis</strong> <strong>gareSe</strong><br />
miekuTvnebian erT jgufs, xolo pacientebi <strong>ST</strong>-<strong>segmentis</strong> elevaciiT mimdinare<br />
<strong>miokardiumis</strong> <strong>infarqti</strong>T miekuTvnebian meore jgufs. termini – <strong>arastabiluri</strong><br />
stenokardia asaxavs sindroms, romelsac Sualeduri mdgomareoba ukavia qronikul<br />
stabilur stenokardiasa da <strong>miokardiumis</strong> infarqts Soris. Ppacientebs <strong>ST</strong>-<strong>segmentis</strong><br />
<strong>elevaciis</strong> <strong>gareSe</strong> mimdinare mwvave koronaruli sindromiT aqvT an <strong>arastabiluri</strong><br />
stenokardia an <strong>ST</strong>-<strong>segmentis</strong> <strong>elevaciis</strong> <strong>gareSe</strong> mimdinare <strong>miokardiumis</strong> <strong>infarqti</strong>.<br />
sisxlSiM<strong>miokardiumis</strong> enzimebis donis (CK-MB an Troponins) matebis SemTxvevaSi<br />
diagnostirdeba <strong>miokardiumis</strong> <strong>infarqti</strong> <strong>ST</strong>-<strong>segmentis</strong> <strong>elevaciis</strong> <strong>gareSe</strong> da<br />
normaluri donis SemTxvevaSi - <strong>arastabiluri</strong> stenokardia. mwvave koronaruli<br />
sindromi <strong>ST</strong>-<strong>segmentis</strong> elevaciT uxSiresad sruldeba <strong>miokardiumis</strong> Q kbilovani<br />
<strong>infarqti</strong>T da iSviaTad ara Q kbilovani <strong>infarqti</strong>T. <strong>ST</strong>-<strong>segmentis</strong> elevacis <strong>gareSe</strong><br />
<strong>miokardiumis</strong> <strong>infarqti</strong> uxSiresad sruldeba ara Q kbilovani <strong>miokardiumis</strong><br />
<strong>infarqti</strong>T da iSviaTad Q kbilovani <strong>miokardiumis</strong> <strong>infarqti</strong>T (ix sqema #1).<br />
mniSvnelovnad gamoxatuli gulis koronaruli daavadeba (CHD) - ganisazRvreba<br />
angiografiulad erT-erTi didi epikardiuli arteriis sanaTuris 70% an meti<br />
SeviwroebiT an marcxena koronaruli arteriis ZiriTadi Reros (Left Main) 50% an<br />
meti stenoziT. ufro naklebad gamoxatulma stenozmac SesaZloa gamoiwvios<br />
stenokardia, Tumca maT prognozulad naklebi mniSvneloba eniWeba.<br />
mwvave koronaruli sindromis marTvisas umniSvnelovanesia diagnozis swrafad<br />
dasma, razec Tavis mxriv damokidebulia mkurnalobis strategia. magaliTad <strong>ST</strong><strong>segmentis</strong><br />
elevaciiT mimdinare <strong>miokardiumis</strong> <strong>infarqti</strong>s dros gadaudeblad unda<br />
daiwyos reperfuziuli Terapia (Trombolizisi an PCI). <strong>arastabiluri</strong> stenokardiis<br />
da <strong>ST</strong>-<strong>segmentis</strong> <strong>elevaciis</strong> <strong>gareSe</strong> mimdinare <strong>miokardiumis</strong> <strong>infarqti</strong>s dros, erTis<br />
mxriv, mkurnalobis msgavsi midgoma ar gamoiyeneba, meores mxriv _ daavadebis<br />
dawyebis pirvel saaTebSi SeuZlebelia maTi garCeva erTmaneTisgan, radgan sisxlSi<br />
<strong>miokardiumis</strong> enzimebis donis mateba iwyeba ramdenime saaTSi, amitomac moxda am ori<br />
sindromis gaerTianeba erT jgufSi.<br />
<strong>ST</strong> <strong>elevaciis</strong> <strong>gareSe</strong><br />
<strong>arastabiluri</strong><br />
stenokardia UA<br />
mwvave koronaruli sindromi ACS<br />
ara Q kbilovani<br />
<strong>miokardiumis</strong> <strong>infarqti</strong><br />
<strong>ST</strong> elevaciiT<br />
Q kbilovani<br />
<strong>miokardiumis</strong> <strong>infarqti</strong><br />
sqema #1<br />
5
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