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Professional paper - Review paper
Akutno zatajivanje srca
Medicina Fluminensis : Medicina Fluminensis, 49 (2013), 4; 382-390. urn:nbn:hr:184:086540
Nikšić, Milan; Petretić, Ana; Bastiančić, Luka; Bačić, Gordana; Zaputović, Luka

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Nikšić, M., Petretić, A., Bastiančić, L., Bačić, G. & Zaputović, L. (2013). Akutno zatajivanje srca. Medicina Fluminensis : Medicina Fluminensis, 49. (4), 382-390. Retrieved from https://urn.nsk.hr/urn:nbn:hr:184:086540

Nikšić, Milan, et al. "Akutno zatajivanje srca." Medicina Fluminensis : Medicina Fluminensis, vol. 49, no. 4, 2013, pp. 382-390. https://urn.nsk.hr/urn:nbn:hr:184:086540

Nikšić, Milan, Ana Petretić, Luka Bastiančić, Gordana Bačić and Luka Zaputović. "Akutno zatajivanje srca." Medicina Fluminensis : Medicina Fluminensis 49, no. 4 (2013): 382-390. https://urn.nsk.hr/urn:nbn:hr:184:086540

Nikšić, M., et al. (2013) 'Akutno zatajivanje srca', Medicina Fluminensis : Medicina Fluminensis, 49(4), pp. 382-390. Available at: https://urn.nsk.hr/urn:nbn:hr:184:086540 (Accessed 16 November 2024)

Nikšić M, Petretić A, Bastiančić L, Bačić G, Zaputović L. Akutno zatajivanje srca. Medicina Fluminensis : Medicina Fluminensis [Internet]. 2013 December 02 [cited 2024 November 16];49(4):382-390. Available at: https://urn.nsk.hr/urn:nbn:hr:184:086540

M. Nikšić, A. Petretić, L. Bastiančić, G. Bačić and L. Zaputović, "Akutno zatajivanje srca", Medicina Fluminensis : Medicina Fluminensis, vol. 49, no. 4, pp. 382-390, December 2013. [Online]. Available at: https://urn.nsk.hr/urn:nbn:hr:184:086540. [Accessed: 16 November 2024]

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Metadata
Title (croatian)Akutno zatajivanje srca
Title (english)Acute heart failure
AuthorMilan Nikšić
AuthorAna Petretić
AuthorLuka Bastiančić
AuthorGordana Bačić
AuthorLuka Zaputović
Author's institutionUniversity of Rijeka
Faculty of Medicine
(Department of Internal Medicine)
Scientific / art field,
discipline and subdiscipline		BIOMEDICINE AND HEALTHCARE
Clinical Medical Sciences
Internal Medicine
Scientific / art field,
discipline and subdiscipline		BIOMEDICINE AND HEALTHCARE
Clinical Medical Sciences
Emergency Medicine
Abstract (croatian)
Zatajivanje srca definirano je kao poremećaj funkcije i strukture srca koji za posljedicu ima neadekvatnu opskrbu ciljnih organa kisikom. Akutno zatajivanje srca (AZS) predstavlja hitno, po život opasno stanje koje se u pravilu liječi u jedinicama intenzivnog liječenja. Najčešći uzroci AZS-a su akutni koronarni sindrom, hipertenzivna kriza, poremećaji ritma srca i valvularne pogreške. Dijagnostički postupak u ovih bolesnika mora biti brz i provodi se istovremeno s terapijskim mjerama uz stalnu procjenu stanja bolesnika. Uzrok AZS-a valja što prije identificirati, kako bi se moglo provesti i specifično liječenje pojedinih stanja. Cilj liječenja brzo je poboljšanje simptoma i znakova zatajivanja srca, te stabilizacija hemodinamskog stanja i smanjenje bolničke i kasne smrtnosti koja je u ovih bolesnika i dalje visoka. Klinički pregled bolesnika ključan je za brzo postavljanje dijagnoze, a valja ga dopuniti elektrokardiogramom, rendgenogramom grudnih organa, laboratorijskim pretragama i ehokardiografskim pregledom. Edem pluća i kardiogeni šok najteži su oblici AZS-a. Liječenje se provodi ovisno o kliničkoj slici i bazira se na procjeni hemodinamskog statusa bolesnika te stanja koje je dovelo do akutnog zatajivanja. Kardiogeni plućni edem liječi se kisikom, diureticima, vazodilatatorima, a ako je potrebno i mehaničkom ventilatornom potporom. Liječenje kardiogenog šoka provodi se primjenom inotropa i vazokonstriktornih lijekova, te mehaničkom ventilatornom, a ponekad i hemodinamskom potporom. Bolnička i kasna smrtnost i dalje su visoke.
Abstract (english)
Heart failure is defined as abnormality of cardiac function or cardiac structure, leading to failure of the heart to deliver oxygen to the metabolizing tissues pursuant to their requirements. Clinically, it’s usually defined as a syndrome in which patients have typically symptoms as fatigue, breathlessness, ankle swelling. Most common cause of heart failure is coronary artery disease. Acute heart failure is life threatening condition characterized with rapid onset of clinical signs and symtpoms, and it’s usually triggered by acute myocardial infarction, hypertension or arrhythmias. Diagnostics and treatment is preformed at the same time. Diagnostics includes physical examination, electrocardiography, blood tests, chest xray and echocardiography. Treatment of acute heart failure usually includes oxygen, diuretics, opioids, vazodilatators, and in cases of cardiogenic shock inotropic support. Early inhospital and late mortality remain high.
Keywords (croatian)
Keywords (english)
Languagecroatian
Publication typeProfessional paper - Review paper
Publication statusPublished
Peer reviewPeer review
Publication versionPublished version
Journal titleMedicina Fluminensis : Medicina Fluminensis
Numberingvol. 49, no. 4, pp. 382-390
p-ISSN0025-7729
URN:NBNurn:nbn:hr:184:086540
Publication2013-12-02
Document URLhttp://hrcak.srce.hr/112528
Type of resourceText
Access conditionsOpen access
Terms of useLicence In copyright icon
Created on2017-05-12 10:30:52