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master's thesis
Liječenje bolesnika od koronarne bolesti srca u obiteljskoj medicini
2021. urn:nbn:hr:184:020662
Končurat, Jakov
University of Rijeka
Faculty of Medicine
Department of Family Medicine

Cite this document

Končurat, J. (2021). Liječenje bolesnika od koronarne bolesti srca u obiteljskoj medicini (Master's thesis). Rijeka: University of Rijeka, Faculty of Medicine. Retrieved from https://urn.nsk.hr/urn:nbn:hr:184:020662

Končurat, Jakov. "Liječenje bolesnika od koronarne bolesti srca u obiteljskoj medicini." Master's thesis, University of Rijeka, Faculty of Medicine, 2021. https://urn.nsk.hr/urn:nbn:hr:184:020662

Končurat, Jakov. "Liječenje bolesnika od koronarne bolesti srca u obiteljskoj medicini." Master's thesis, University of Rijeka, Faculty of Medicine, 2021. https://urn.nsk.hr/urn:nbn:hr:184:020662

Končurat, J. (2021). 'Liječenje bolesnika od koronarne bolesti srca u obiteljskoj medicini', Master's thesis, University of Rijeka, Faculty of Medicine, accessed 21 October 2024, https://urn.nsk.hr/urn:nbn:hr:184:020662

Končurat J. Liječenje bolesnika od koronarne bolesti srca u obiteljskoj medicini [Master's thesis]. Rijeka: University of Rijeka, Faculty of Medicine; 2021 [cited 2024 October 21] Available at: https://urn.nsk.hr/urn:nbn:hr:184:020662

J. Končurat, "Liječenje bolesnika od koronarne bolesti srca u obiteljskoj medicini", Master's thesis, University of Rijeka, Faculty of Medicine, Rijeka, 2021. Available at: https://urn.nsk.hr/urn:nbn:hr:184:020662

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Metadata
TitleLiječenje bolesnika od koronarne bolesti srca u obiteljskoj medicini
Title (english)Treatment of patients with coronary heart disease in family medicine
AuthorJakov Končurat
MentorAleksandar Ljubotina (mentor)
Committee memberBranislava Popović (predsjednik povjerenstva)
Committee memberLeonardo Bukmir (član povjerenstva)
Committee memberZdenka Barićev-Novaković (član povjerenstva)
GranterUniversity of Rijeka
Faculty of Medicine
(Department of Family Medicine)
Rijeka
Defense date and country2021-09-17, Croatia
Scientific / art field,
discipline and subdiscipline		BIOMEDICINE AND HEALTHCARE
Public Health and Health Care
Family Medicine
Abstract
Visoka incidencija KBS predstavlja veliki teret za zdravstveni sustav i ekonomiju. Ateroskleroza je glavni uzročnik KBS, iako patofiziološki mehanizam nije do kraja razjašnjen. Koronarna bolest srca javlja se zbog smanjenog dotoka krvi do srčanog mišića kao posljedica opstrukcije koronarnih arterija. Klinički se manifestira u obliku angine pektoris, akutnog koronarnog sindroma i iznenadne srčane smrti. Liječenje KBS se zasniva na prevenciji i farmakološkoj terapiji. Čimbenici rizika koje povezujemo sa KBS jesu povišeni krvni tlak, pušenje, šećerna bolest i hiperkolesterolemija. Promjena životnog stila kao prestanak pušenja može povoljno utjecati na ishod bolesti kod pacijenata sa KBS. Svakodnevna, umjerena tjelovježba i kotrolirana dijeta mogu ubrzati pospješiti rehabilitaciju i smanjiti sveukupnu smrtnost. Sukladno novim smjernicama, kontrola krvnog tlaka u razinama <130/80 mmHg, kao i redukcija LDL kolesterola <1.8 mmol/L mogu značajno sniziti rizik od koronarnog incidenta. Kod sekundarne prevencije KBS treba naglasiti kontinuiranu antiagregacijsku terapiju aspirinom ili inhibitorom P2Y12 receptora (klopidogrel, tikagrelor) te beta-blokatore u pacijenata sa simptomatskom anginom.
Abstract (english)
High incidence of coronary heart disease(CHD) presents a great burden for health system and economy. Atherosclerosis is the main cause of CHD, although the pathopyhsiological mechanism is not yet fully understood. Coronary heart disease is caused by reduced perfusion of myocard due to obstruction of coronary arteries. CHD is clinically presented in angina pectoris, acute coronary syndrome and sudden cardiac death. CHD therapy is based on prevention and pharmacotherapy. Risk factors that are associated with CHD are: hypertension, smoking, diabetes and hypercolesterolemia. Lifestyle changes like smoking cessation can lead to better outcome for patients with CHD. Moderate excercise and controlled diet can speed up rehabilitation process and reduce overall mortality. According to new guidelines, blood pressure control in levels <130/80 mmHg and reduction of LDL cholesterol <1.8 mmol/L can significantly lower the risk of a coronary incident. Secondary prevention of CHD is based on continuous antiplatelet therapy with aspirin or P2Y12 inhibitors and beta-blockers in patients that present with angina.
Keywords
Keywords (english)
Languagecroatian
URN:NBNurn:nbn:hr:184:020662
Study programmeTitle: Medicine
Study programme type: university
Study level: integrated undergraduate and graduate
Academic / professional title: doktor/doktorica medicine (doktor/doktorica medicine)
Type of resourceText
File originBorn digital
Access conditionsOpen access
Terms of useLicence In copyright icon
Created on2021-09-08 08:55:58