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master's thesis
Liječenje kroničnog popuštanja srca biventrikularnom elektrostimulacijom
Zagreb: University of Zagreb, School of Medicine, 2013. urn:nbn:hr:105:352182
Bračun, Valentina
University of Zagreb
School of Medicine
Department of Internal Medicine

Institutional repository: Dr Med - University of Zagreb School of Medicine Digital Repository

Cite this document

Bračun, V. (2013). Liječenje kroničnog popuštanja srca biventrikularnom elektrostimulacijom (Master's thesis). Zagreb: University of Zagreb, School of Medicine. Retrieved from https://urn.nsk.hr/urn:nbn:hr:105:352182

Bračun, Valentina. "Liječenje kroničnog popuštanja srca biventrikularnom elektrostimulacijom." Master's thesis, University of Zagreb, School of Medicine, 2013. https://urn.nsk.hr/urn:nbn:hr:105:352182

Bračun, Valentina. "Liječenje kroničnog popuštanja srca biventrikularnom elektrostimulacijom." Master's thesis, University of Zagreb, School of Medicine, 2013. https://urn.nsk.hr/urn:nbn:hr:105:352182

Bračun, V. (2013). 'Liječenje kroničnog popuštanja srca biventrikularnom elektrostimulacijom', Master's thesis, University of Zagreb, School of Medicine, accessed 23 November 2024, https://urn.nsk.hr/urn:nbn:hr:105:352182

Bračun V. Liječenje kroničnog popuštanja srca biventrikularnom elektrostimulacijom [Master's thesis]. Zagreb: University of Zagreb, School of Medicine; 2013 [cited 2024 November 23] Available at: https://urn.nsk.hr/urn:nbn:hr:105:352182

V. Bračun, "Liječenje kroničnog popuštanja srca biventrikularnom elektrostimulacijom", Master's thesis, University of Zagreb, School of Medicine, Zagreb, 2013. Available at: https://urn.nsk.hr/urn:nbn:hr:105:352182

Metadata
TitleLiječenje kroničnog popuštanja srca biventrikularnom elektrostimulacijom
Title (english)Treatment of the chronic heart failure by biventricular electrostimulation
AuthorValentina Bračun
MentorDiana Delić-Brkljačić (mentor)
Committee memberMislav Vrsalović (predsjednik povjerenstva)
Committee memberBoško Skorić (član povjerenstva)
Committee memberDiana Delić-Brkljačić (član povjerenstva)
GranterUniversity of Zagreb
School of Medicine
(Department of Internal Medicine)
Zagreb
Defense date and country2013-11-29, Croatia
Scientific / art field,
discipline and subdiscipline		BIOMEDICINE AND HEALTHCARE
Clinical Medical Sciences
Internal Medicine
Abstract
Popuštanje srca definira se kao sindrom koji nastaje uslijed nemogućnosti srca da djeluje kao pumpa, a označava abnormalnost strukture i funkcije srca da opskrbi organizam količinom kisika potrebnom za normalan metabolizam tkiva i organa. Popuštanje srca prema brzini kliničkih manifestacija dijelimo na akutno i kronično. Klinička slika kroničnog popuštanja srca je raznolika, te najviše ovisi o stadiju bolesti i komorbiditetima bolesnika. Postavljanje dijagnoze kroničnog popuštanja srca zahtijeva ispunjavanje ključnih kriterija koji uključuju simptome i kliničke znakove popuštanja srca i objektivne dokaze srčane disfunkcije. Ehokardiografski pregled se danas smatra zlatnim standardom za otkrivanje, procjenu težine i opsega oštećenja miokarda i ostalih srčanih struktura i postavljanje dijagnoze kroničnog popuštanja srca. Terapijski pristup liječenju, osim prevencije bolesti obuhvaća i opće, dijetetske mjere, farmakološku terapiju, mehanička sredstva i kiruršku terapiju. Biventrikularna elektrostimulacija, odnosno resinkronizacija je relativno novi terapijski postupak za pacijente sa kroničnim popuštanjem srca. Resinkronizacija poboljšava cjelokupnu srčanu efikasnost, a kliničke studije su pokazale statistički značajno smanjenje broja hospitalizacija i smrtnosti, kao i značajno poboljšanje kvalitete života bolesnika sa dijagnozom kroničnog popuštanja srca.
Abstract (english)
Heart failure can be defined as a syndrome that occures when heart lose its ability to function as a pump, term includes an abnormality of cardiac structure and function to deliver oxygen at a rate commensurate with the requirements of the metabolizing tissues. Heart failure can be acute and chronic, depending on the time required for the clinical manifestations of disease. Clinical manifestations of chronic heart failure are of wide range and they depend on the stage of disease and patient`s comorbidities. Diagnosis of the chronic heart failure requires meeting of criteria that include signs and symptoms of disease and objective findings of the cardiac dysfunction. Echocardiogram is the golden standard in detection, assessment of disease severity and diagnosis of chronic heart failure. The therapeutic approach to the treatment, includes prevention, dietary measures, pharmacological therapy, mechanical devices and surgical therapy. Biventricular pacing, in another words resynchronization is a relatively new therapeutic treatment for patients with chronic heart failure. Cardiac resynchronization improves overall cardiac efficiency, clinical studies have shown a statistically significant reduction in the number of hospitalizations and mortality rate, as well as significant improving in the quality of life in patients diagnosed with chronic heart failure.
Keywords
Keywords (english)
Languagecroatian
URN:NBNurn:nbn:hr:105:352182
Study programmeTitle: Medicine
Study programme type: university
Study level: integrated undergraduate and graduate
Academic / professional title: doktor/doktorica medicine (doktor/doktorica medicine)
Type of resourceText
File originBorn digital
Access conditionsAccess restricted to students and staff of home institution
Terms of useLicence In copyright icon
Created on2015-12-09 13:51:37