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Koronarografija

March 20, 2009

koronarografijaKoronarografija je  invazivna tehnika za vizuelizaciju lumena koronarnih arterija ostaje najpreciznija metoda za dijagnostikovanje klinički značajne, opstruktivne koronarne ateroskleroze i redjih neaterosklerotskih uzroka hronične stabilne angine pektoris, kao što je spazam koronarnih arterija, anomalije koronarnih krvnih sudova, Kawasaki-jeva bolest, primarna koronarna disekcija i različite vrste vaskulopatija.

Signifikantna koronarna bolest se angiografski definiše kao >70% dijametar stenoze koja zahvata >1 velike epikardne arterije ili >50% dijametar stenoze glavnog stabla leve koronarne arterije.

Indikacije za koronarografiju

Kod bolesnika kod kojih je na osnovu kliničkih parametara procenjena verovatnoća za postojanje koronarne bolesti oko 50%, indikovano je uraditi neki od stres-testova pre daljeg invazivnog ispitivanja. Medjutim, ukoliko je neinvazivno testiranje kontraindikovano ili se ne očekuje da će nalaz biti validan za interpretaciju zbog pridruženih bolesti ili psihofizičkih karakteristika, ovi bolesnici se upućuju direktno na koronarografiju.

Ostale indikacije za koronarografiju

Klasa I (apsolutno indikovana)

  • Bolesnici koji su uspešno reanimirani nakon srčanog zastoja
  • Neadekvatna kontrola simptoma sa medikamentoznom terapijom
  • Bolesnici sa visoko-rizičnim rezlutatima stres testova
  • Postojanje umerene disfunkcije leve komore
  • Pre veće vaskularne operacije, ukoliko simptomi ili neinvazivni testovi ukazuju na postojanje koronarne bolesti
  • Profesija ili način života, koji podrazumevaju neuobičajeni rizik
  • Bolesnici nakon hirurške/perkutane revaskularizacije sa ranom rekurentnom anginom ili rekuretnim simptomima rezistentnim na medikamentoznu terapiju
  • Sumnja na neaterosklertoski uzrok ishemije ili spazam koronarnih arterija

Klasa III (nije indikovana)

  • Osobe sa blagim simptomima (CCS klasa I ili II), sa očuvanom funkcijom leve komore i bez visoko-rizičnih parametara na stres-testu nisu indikovane za koronarografiju

Autor KardioNet · u Dijagnoza i testovi 
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.

Komentari

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    bolujem od angine pektoris i spazam krvnih sudova na srcu.
    radjena mi je koronorografija pre 5 godina i tada je utvrdjeno da su mi krvni sudovi zapuseni jedan sud25% a drugi 35% sta i kako dale da radim
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