CONGENITAL HEART DISEASE IN ADULTS
Autor: | Kadum, Fabio |
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Přispěvatelé: | Zaninović-Jurjević, Teodora, Ružić, Alen, Bubić, Ivan, Banac, Srđan |
Jazyk: | chorvatština |
Rok vydání: | 2020 |
Předmět: | |
Popis: | Prirođene srčane bolesti čine skupinu bolesti koja se definira kao od rođenja prisutan poremećaj položaja, građe i/ili funkcije srca, odnosno velikih krvnih žila. Ubrajaju se u najčešće urođene poremećaje, a zbog izvanrednog medicinskog napretka unatrag nekoliko desetljeća preko 90% zahvaćene djece doživi odraslu dob pa te bolesti postaju rastući javnozdravstveni problem s približnom prevalencijom od 2,8 na 1000 stanovnika u svijetu. U ovom istraživanju promatrana je prevalencija hospitaliziranih pacijenata na Klinici za bolesti srca i krvnih žila KBC Rijeka te njihove kliničke karakteristike, provedeni terapijski postupci i njihovi ishodi. Utvrđena je visoka prevalencija hospitalizacija na navedenoj Klinici od 29,2 na 1000 hospitaliziranih. Među pacijentima su prevladavale žene. Razlozi dolazaka bili su heterogeni, ali na vodećem mjestu bilo je planirano zatvaranje atrijskog septalnog defekta i perzistentnog foramena ovale. Najučestalija prirođena srčana bolest bila je atrijski septalni defekt. Od ispitivanih pridruženih stanja i bolesti najčešća su bila moždani udar i zatajivanje srca, međutim većina pacijenata nije imala nijedno od ispitivanih stanja i bolesti. U najvećeg dijela pacijenata je pri hospitalizaciji napravljen perkutani korektivni zahvat te je, osim u slučaju postojanja kontraindikacija, uvedena antiagregacijska ili antikoagulacijska terapija. Smrtnost je bila niska i iznosila 2,87% s akutizacijom kroničnog zatajivanja srca kao vodećim uzrokom. Congenital heart diseases form a group of diseases that is defined as a disorder of the position, structure and / or function of the heart or large blood vessels present from birth. They are among the most common congenital disorders, and due to remarkable medical advances over the past few decades, over 90% of affected children reach adulthood, and these diseases are becoming a growing public health problem with an approximate prevalence of 2.8 per 1,000 population worldwide. In this study, the prevalence of hospitalized patients at the Clinic for Cardiovascular Diseases of the University Hospital Center Rijeka was observed, as well as their clinical characteristics, performed therapeutic procedures and their outcomes. A high prevalence of hospitalizations at the said Clinic of 29.2 per 1,000 hospitalized was determined. Women predominated among the patients. The reasons for the arrivals were heterogeneous, but planned closure of the atrial septal defect and patent foramen ovale was in the leading position. The most common congenital heart disease was atrial septal defect. The most common of the examined conditions and diseases were stroke and heart failure, however, most patients did not have any of the examined conditions and diseases. In most patients, percutaneous corrective procedures were performed during hospitalization, and except in the case of contraindications, antiplatelet or anticoagulant therapy was introduced. Mortality was low at 2.87% with acute heart failure as the leading cause |
Databáze: | OpenAIRE |
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