Title BIOPSIHOSOCIJALNI MODEL INFARKTA MIOKARDA
Title (english) BIOPSIHOSOCIAL MODEL IN THE MYOCARDIAL INFARCTION
Author Jure Šeremet
Mentor Aleksandar Ljubotina (mentor)
Committee member Ines Diminić-Lisica (predsjednik povjerenstva)
Committee member Leonardo Bukmir (član povjerenstva)
Committee member Branislava Popović (član povjerenstva)
Granter University of Rijeka Faculty of Medicine (Department of Family Medicine) Rijeka
Defense date and country 2018-07-13, Croatia
Scientific / art field, discipline and subdiscipline BIOMEDICINE AND HEALTHCARE Public Health and Health Care Family Medicine
Abstract Biopsihosocijalni model je alat koji pomaže usmjeriti liječnike prema razumijevanju kako se bolest i potencijalna patnja pacijenata odvija na više razina organizma, od molekularne razine, pa sve do socioekonomskih odnosa u društvu. Ishemijska (koronarna) bolest srca je stanje neprimjerenog dotoka krvi i kisika do miokarda. Najčešći uzrok ishemije je aterosklerotska bolest epikardijalnih koronarnih arterija. Infarkt miokarda je definiran kao klinički ili patološki događaj uzrokovan ishemijom miokarda kod koje postoji dokaz ozljede miokarda ili nekroze. Ishemijska bolest srca je jedan od najčešćih uzroka smrti i smanjenja kvalitete života u razvijenim zemljama. Liječnik u slučaju sumnje na infarkt miokarda mora pristupiti dijagnostici EKG-om i biokemijskim nalazima, premedicirati pacijenta, te ultimativno ga dovesti do jedinice za perkutanu koronarnu intervenciju. Osobe koje imaju veće genetičko opterećenje imaju 91% veći rizik za kardiovaskularni incident od osoba sa malim opterećenjem. Način života, pušenje, pretilost, tjelesna aktivnost, te prehrana su veliki akteri u kontroli genetičkog opterećenja. Incidencija infarkta miokarda ima svoju cirkadijanu varijabilnost, događa se češće ujutro, pogotovo ako se pridoda emocionalna uznemirenost. Osobe koje su psihološki opterećene stresom, depresijom, anksioznošću i ljutnjom dokazano imaju veći rizik od kardiovaskularnih incidenta. Socioekonomski status uvelike utječe na rizik od akutnog infarkta miokarda. Što je niži socioekonomski status osobe, to ima veći mortalitet od akutnog infarkta miokarda, te pogubnije posljedice. Psihološke intervencije uključuju individualne, grupne radionice, kognitivno bihevioralnu terapiju i jogu. Psihološke intervencije povisuju kvalitetu života, te pomažu u primarnoj i sekundarnoj prevenciji kardiovaskularnih incidenata. Liječnik je veliki sudionik u bolesti pacijenta, te se ponekad mora osvrnuti na biopsihosocijalni model.
Abstract (english) Biopsychosocial model is a tool that helps us to understand that the sickness and suffering of the patient is set on multiple levels of the organism, from the molecule all to the socioeconomic relationships in the society. The most common cause of ischemia is the atherosclerotic disease of epicardial coronary arteries. Myocardial infarction is defined as a clinical or pathological event caused by myocardial ischemia when there is an evidence of myocardial injury or necrosis. Coronary heart disease is a major cause of death and reduces quality of life in developed countries. In case of doubt in myocardial infarction, we must examine the patient with ECG and biochemical markers, premedicate the patient, and seek for percutane coronary intervention center. Persons with high negative genetic load have 91% greater risk for coronary incident then the persons with low genetic load. The way of life, smoking, obesity, physical activity, and food choices are big factors in holding the genetic load in check. Myocardial infarction has its circadian variability. It happens often in the morning, especially if we superimpose emotional distress. Persons that are psychologically burdened with stress, depression, anxiety and anger, have a greater risk to acquire cardiovascular incident. Socioeconomical status greatly influences the mortality of acute myocardial infarction. Psychological interventions are beneficial to quality of life, and help with primary and secondary prevention of cardiovascular incidents. The doctor has a big role in patients disease, and sometimes needs to look up to the biopsychosocial model .
Keywords
infarkt miokarda
biopsihosocijalni model
Keywords (english)
Myocardial infarction
Biopsychosocial model
Language croatian
URN:NBN urn:nbn:hr:184:397668
Study programme Title: Medicine Study programme type: university Study level: integrated undergraduate and graduate Academic / professional title: doktor/doktorica medicine (doktor/doktorica medicine)
Type of resource Text
File origin Born digital
Access conditions Open access
Terms of use
Created on 2018-11-22 16:39:36