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Title:Obravnava ambulantnih bolnikov z ishemijo pri perfuzijski scintigrafiji srca
Authors:ID Arih, Kristina (Author)
ID Podnar, Jonas (Author)
ID Gužič-Salobir, Barbara (Author)
ID Štalc, Monika (Author)
Files:.pdf PDF - Presentation file, download (890,09 KB)
MD5: 847B188F804DDD196A6E265258EE93CC
 
URL URL - Source URL, visit https://vestnik.szd.si/index.php/ZdravVest/article/view/3601/4506
 
Language:Slovenian
Typology:1.01 - Original Scientific Article
Organization:Logo UKC LJ - Ljubljana University Medical Centre
Abstract:Izhodišče: Ishemija srčne mišice je kompleksno dogajanje, ki pomeni za bolnika slabši izid. Perfuzijska scintigrafija srca (PSM) je neinvazivna metoda, s katero ugotavljamo prisotnost ishemije. Namen naše raziskave je bil pridobiti podatke o obravnavi bolnikov z ugotovljeno ishemijo pri PSM, saj le-teh v slovenskem prostoru doslej nismo imeli na voljo.Metode: V raziskavo smo vključili 306 ambulantno obravnavanih bolnikov, ki so jim v letu 2020 pri PSM ugotovili ishemijo. Iz baze podatkov Klinike za nuklearno medicino in iz informacijskih sistemov smo zbrali demografske, klinične in scinti-grafske podatke ter podatke o napotitvi na koronarografijo in podatke o revaskularizacijskih posegih.Rezultati: Na koronarografijo so napotili 74 % bolnikov, ki so imeli značilno več tipične prsne bolečine (40 % vs. 23 %, p=0,005) in dispneje (50 % vs. 38 %, p=0,051) kot nenapoteni bolniki. Na koronarografijo so napotili značilno več bolnikov z zmerno in hudo ishemijo kot pa bolnikov z blago ishemijo (83 % vs. 65 %, p=0,003; 93 % vs. 65 %, p<0,001) ter več bolnikov s hudo ishemijo kot tistih z zmerno ishemijo (93 % vs. 83 %, p=0,003). Pri večjem deležu bolnikov z obsegom ishemije nad 10 % je bil nato opravljen revaskularizacijski poseg (84 % vs. 61 %, p=0,036).Zaključek: Zdravniki večino bolnikov z ishemijo pri PSM napotijo na koronarografijo. Obseg ishemije je povezan z napoti-tvijo na koronarografijo in odločitvijo za revaskularizacijske posege.
Keywords:ishemija, perfuzijska scintigrafija srca, koronarografija, obstruktivna koronarna bolezen, revaskularizacija
Publication status:Published
Publication version:Version of Record
Year of publishing:2025
Number of pages:str. 109-118
Numbering:Letn. 94, št. 5/6
PID:20.500.12556/DiRROS-28466 New window
UDC:616.1
ISSN on article:1318-0347
DOI:10.6016/ZdravVestn.3601 New window
COBISS.SI-ID:243629571 New window
Note:
Publication date in DiRROS:20.03.2026
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Downloads:139
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Record is a part of a journal

Title:Zdravniški vestnik : glasilo Slovenskega zdravniškega društva
Publisher:Slovensko zdravniško društvo
ISSN:1318-0347
COBISS.SI-ID:32893696 New window

Licences

License:CC BY-NC 4.0, Creative Commons Attribution-NonCommercial 4.0 International
Link:http://creativecommons.org/licenses/by-nc/4.0/
Description:A creative commons license that bans commercial use, but the users don’t have to license their derivative works on the same terms.

Secondary language

Language:English
Title:Management of outpatients with ischemia in myocardial perfusion scintigraphy
Abstract:Background: Myocardial ischemia is a complex condition, which means a worse prognosis for the patient. Myocardial perfusion scintigraphy (MPS) is a non-invasive method used to detect the presence of ischemia. With our study, we aimed to gather data on the management of patients with ischemia detected by MPS, as such data have not previously been available in Slovenia. Methods: In our study, we included 306 outpatients who were found to have ischemia on MPS in 2020. Demographic, clin-ical, and scintigraphic data, as well as information on referrals for coronary angiography and revascularization procedures, were collected from the the nuclear medicine division’s database and patient records.Results: Coronary angiography was performed in 74% of patients who reported typical chest pain (40% vs. 23%, p=0.005) and dyspnea (50% vs. 38%, p=0.051) more frequently than those not referred. A significantly higher proportion of patients with moderate and severe ischemia were referred for coronary angiography compared to those with mild ischemia (83% vs. 65%, p=0.003; 93% vs. 65%, p<0.001), and more patients with severe ischemia were referred than those with moderate ischemia (93% vs. 83%, p=0.003). Additionally, a higher percentage of patients with ischemia affecting more than 10% of the myocardium underwent revascularization (84% vs. 61%, p=0.036).Conclusion: Physicians refer most patients with ischemia detected by PSM for coronary angiography. The extent of isch-emia plays a significant role in the further management of patients, influencing decisions regarding referrals for coronary angiography and revascularization procedures.
Keywords:ischemia, myocardial perfusion scintigraphy, invasive coronarography, obstructive coronary artery disease, revascularization


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