ISSN: 1305-385X
Hakkında: Özel sayılar şeklinde yayınlanır.
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Risk Stratification After Myocardial Infarction
Dr. Osman YEŞİLDAĞa
aKardiyoloji AD, Ondokuz Mayıs Üniversitesi Tıp Fakültesi, SAMSUN
It is very important to determine the treatment protocol after myocardial infarction during recovery period. In recent times, the first tratment choice in patients who are admitted to a fully equipped tersier hospital in 12 hours after the beginning of myocardial infarction or chest pain is the application of the primer stent procedure. The alternative treatment is questionable in patients who could receive only trombolytic drug or no lytic therapy for their late admittance to the hospital. In this condition, it must be clearly determined that coronary angiography should be performed for which group of patients. Some clinical findings and laboratory parameters should be into account for the indication of coronary angiography. Some authors propose that all patients should be taken into the catheterization and coronary angiography, but nowadays, the opinion accepted generally is the necessity of the presence of some clinical and laboratory criteria on this issue.
The patients who have chest pain after myocardial infarction (unstable angina), left heart failure, serious and dangerous ventricular arrhyhmias, left ventricular dysfunction, the presence of the mechanical complication such as mitral regurgitation,ventricular septal rupture echocardiographically and most importantly provocable chest pain (positive submaximal tradmill exercise test or myocard perfusion scintigraphy) should be taken into the left heart catheterization and coronary angiography to disclose the necessity and the mode of the revascularization.Keywords: Myocardial infarction; coronary angiography; myocardial revascularizationTurkiye Klinikleri J Int Med Sci 2007, 3(7):51-56
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