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Indikacije za ugradnju Pejsmejkera

March 20, 2009

ekg-pejsmejkerKod bolesnika kod kojih postoje smetnje u radu srca treba učiniti rutinski kardiološki pregled, a kao najvažniji rutinski pregled treba istaći

  1. elektrokaradiogram, koji je vrlo često dovoljan ne samo za postavljanje indikacije za ugradnju pejmejkera, već i za određenje tipa pejsmejkera koji treba ugraditi.
  2. Ukoliko dijagnoza iz bilo kojih razloga nije sasvim jasno razrešila dilemu o potrebi ugradnje pejsmejkera može se primeniti i 24-voročasovna dinamska elektrokardiografija, poznatija po imenu pronalazača koji je konstruisao kao Holter monitoring. Mali registratori se povezuju sa elektrodama elektrokardiograma i registruju EKG tokom svakodnevne aktivnosti u periodu koji se može i produžiti, ali najčešće iznosi 24 sata.
  3. Analiza se potom vrši na posebnim kompjutraizovanim analizatorima, posle čega se najčešće na osnovu uzoraka elektrokardiograma izdvojenog iz snimka može dati definitivan odgovor o potrebi ugradnje pejsmejkera. Kažemo najčešće, jer postoje stanja koja zahtevaju dodatno metode koje se primenjuju u salama za kateterizaciju, i koja se nazivaju  elektrofiziološkim ispitivanjem, koji obavljaju timovi vrlo uskospecijalizovanih stručnjaka.

Ovo ispitivanje daje precizan odgovor na pitanje kome ugraditi pejsmejker, a kome ne, ali ga treba primenjivati samo u strogo indikovanim slučajevima.

Autor KardioNet · u Lecenje i nega 
O autoru: KardioNet je prvi domaći Internet portal - servis koji pružaocima zdravstvenih usluga u domenu kardiologije, naučno-istraživačkim organizacijama, lekarima, predstavnicima farmaceutske i industrije medicinske opreme, države i fondova osiguranja, kao i pacijentima i zdravoj populaciji, omogućava pristup traženim medicinskim informacijama u bilo kom momentu, sa bilo kog mesta.

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