Interní Med. 2005; 7(4): 198-200

Akutní infarkt myokardu u dvou mladých pacientů

MUDr. Ondřej Toman1, MUDr. Martin Poloczek1, MUDr. Mgr. Jiří Pařenica1, MUDr. Milan Kozák Ph.D1, MUDr. Petr Kala Ph.D1, prof. MUDr. Jindřich Špinar CSc2
1 Interní kardiologická klinika FN a LF MU v Brně
2 II. interní klinika FN u sv. Anny LF MU, Brno

Akutní infarkt myokardu postihuje především starší jedince, vzácněji bohužel i velmi mladé pacienty. Prezentujeme kazuistiky 2 mužů ve věku 35 a 29 let, kteří byli na naše pracoviště referováni, oba pro akutní infarkt myokardu přední stěny ve stadiu ST elevací. Oba byli léčeni primární angioplastikou infarktové věnčité tepny (RIA – ramus interventricularis anterior) s implantací stentu, s preventivním podáním abciximabu. Časná reperfuze u obou vedla k minimální remodelaci levé srdeční komory, bez významnějších poruch kinetiky. Nekomplikovaný průběh hospitalizace a výborná krátkodobá prognóza však nic nemění na nutnosti dlouhodobého sledování těchto pacientů se zaměřením na přísnou sekundární prevenci běžných i raritnějších rizikových faktorů. Obsahem sdělení jsou i obecné poznatky týkající se problematiky akutního infarktu myokardu u mladé populace.

Published: January 1, 2006  Show citation

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Toman O, Poloczek M, Pařenica J, Kozák M, Kala P, Špinar J. Akutní infarkt myokardu u dvou mladých pacientů. Interní Med. 2005;7(4):198-200.
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