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The aims of this study were to describe the clinical characteristics, management, and in-hospital outcomes of acute coronary syndrome ACS patients with heart failure HF in Montenegro and Serbia. The present analysis focused on participants admitted to 15 hospitals in Montenegro and Serbia with a diagnosis of ACS during the period between October and August Among patients, 94 8.
Heart failure was more frequently associated with hypertension. When compared with patients presenting without HF Killip Class Ithose with HF had lower rates of reperfusion therapy either by percutaneous coronary intervention In multivariate logistic regression analysis, older age, prior coronary artery bypass graft, and ST-segment elevation myocardial infarction were the relevant predictor of HF at admission.
Heart failure on admission was associated with a marked increase in mortality rates during hospitalization After adjustment for differences in clinical characteristics, HF was still associated with higher mortality odds ratio 2. More aggressive treatment of these patients is warranted to improve prognosis.
The reduction in mortality in patients with heart failure HF and ST-segment elevation myocardial infarction STEMI has been attributed to the increased availability of primary percutaneous coronary intervention PCIallowing sustained recanalization of the infarct-related artery. Transfer should be performed as soon as possible after diagnosis has been made.
Patients were excluded if they had active cancer or autoimmune inflammatory disease leavening a cohort study based on patients.
After excluding 23 patients with Killip Class IV cardiogenic shockthe total cohort study was of patients. Patients were admitted to seven hospitals in Serbia five tertiary centres and two secondary centres and eight hospitals in Montenegro one tertiary centre and seven secondary centres.
Demographic and medical data were collected for all patients during hospitalization. The primary endpoints were the use of PCI and coronary artery bypass graft CABGthrombolysis, and cardiac medications, and in-hospital incidence of death. The comparison of continuous variables between patients with and without HF was performed using the Student's t -test.
Continuous variables were described by means and standard deviations. Multivariate logistic regression analysis with a backward stepwise procedure, using 0. Among ACS patients, 94 8. The mean age of the overall cohort was They were less likely to be admitted within 12 h from symptoms onset. Serum creatinine, heart rate, and systolic blood pressure were statistically different between patients with and without HF.
The use of angiotensin-converting enzyme ACE inhibitors and unfractioned heparin was significantly higher among patients with HF compared with their counterpart without HF. Patients with HF were less likely to undergo invasive cardiac procedures and thrombolysis. In-hospital death was remarkably higher for patients with HF compared with those without HF After adjustment for differences in clinical characteristics, HF was still associated with higher mortality compared with the remaining cohort OR 2.
Coronary revascularization, beta-blockers, and ACE inhibitors were significantly associated with decreased mortality. Most of the published data on HF is based on work in the industrialized world. There are few or no available data from the developing world, and especially from those European countries with the economy in transition.
Heart failure on hospital admission was associated with an approximately 3- to 4-fold increase in hospital death rates. Of note, in-hospital mortality of HF patients was Although it is well known that HF is a frequent and severe complication of acute myocardial infarction, the current study shows that HF is a common complication of all forms of ACS.
Patients with HF were also significantly less likely to undergo invasive cardiac procedures and thrombolysis than those without HF. Because information regarding physicians' recommendations to patients was not available in our data set, we cannot fully address this issue.
These findings may have several explanations. First, physicians' perceptions regarding severity of illness and intervention risk in the HF group may be wrong. Secondly, differences in procedure use may be accounted for by an excessive use of procedures among patients without HF rather than underuse among HF individuals.
Indeed, the use of catheterization and coronary revascularization Squad size: Average age: 24,3. National team players: 0. Log in. Profile Settings Log out. FK Rudar Prijedor. Dragan Arezina. Zvijezda G. Marinko Rastoka. Sloboda Tuzla. FK Jedinstvo Zeravica. Dino Kalesic. TOSK Tesanj. Nemanja Matovic. OFK Sloga. Novica Petrovic. Ognjen Petrovic. Kozara Gradiska. Andrej Pavlovic. Mihajlo Savanovic. Slavisa Maksimovic.Bosch ecu pdf
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Kenan Topolovic. Zrinjski Mostar. Predrag Zekanovic. Zvijezda Aleksandar Malbasic. NK Metalleghe. Bojan Burazor. Banja Luka. Djoko Milovic. Sergej Dojcinovic. Zagreb U Dominik Posaric. NK Ponikve.Miranovic — Budi kceri pametna Biljana B. Miranovic — Dodji ne brini Biljana B. Miranovic — Dzentlmen i dama siz Biljana B.
Miranovic — Hvala ti sto si dosao Biljana B. Miranovic — Ja odlazim Biljana B. Miranovic — Ne dam da me lazu Biljana B. Miranovic — Nek se zna Biljana B. Suzo Jedina Biljana Jevtic — Lumpuj Nocas Biljana Jevtic — Prolaze Godine Biljana Jevtic — Ko grom Bina — Ne govori da te ja ostavljam lako Bina — Pustinska ruza Bina — Pustinjska Ruza Bina — Dusa mi je ovih dana Bina — Volim srebro, volim zlato Bina — Zlatno pravilo Bina — Ko amajlija Bina — Poslat od Boga Bina — Ti mozes sve Bina — Dabogda klecao Bina — Ti si jedini covek Bina — Join Facebook to connect with Ratko Rajovic and others you may know.
His educational profile is-a Professor of History and Geography. Research summary. Shara Piljevic. In the scientific explanation of terms, have been applied the two methods are used: the method of analysis and synthesis methods. Our new desktop experience was built to be your music destination. Ratko Rajovic is on Facebook. Ime roditelja.
(VIDEO) Boban Rajović objavio pesmu ŠOKANTNOG naziva! Pogledajte!
Startni broj. Please click the button "Send inquiry" which opens a new e-mail message. Radno vrijeme: h. So the natural increase in in the municipality was Andrijevica - 4. Foto: Kolektiv. Jovan Rajovic. Da biste koristili ovaj servis, otvorite lokaciju na mapi. March Igalo, 85 Herceg Novi. Completed his elementary and high school educational pedagogy in Andrijevica Montenegro.
Parameters of natural population indicate a negative trend. Datum upisa: AUG Korisnik Broj. Nagrada "Radomir P. Facebook gives people the power to share and makes the world more open and connected. Svi podaci su informativnog karaktera. The squad overview can be embedded on the own homepage via iframe. July Please add the homepage on which the squad is supposed to be embedded. Population Livestock Sci. Ruski jezik. Djelatnost: Institucionalno i vaninstitucialno obrazovan View the profiles of people named Ratko Bulic.
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