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Meðferð kransæðastíflu [ritstjórnargrein]

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Authors
Árni Kristinsson
Issue Date
1988-02-15

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Citation
Læknablaðið 1988, 74(2):51-3
Abstract
Nú eru liðin 75 ár síðan Herrick lýsti fyrstur manna bráðu hjartadrepi (1). Hann kallaði það ekki hjartadrep heldur skyndilega kransæðastíflu. Um nokkurt skeið voru uppi efasemdir um að hjartadrep stafaði af kransæðastíflu. Davies og Thomas rannsökuðu nýlega 100 sjúklinga, sem dóu fyrirvaralaust eða innan sex klukkustunda frá upphafi brjóstverkja og höfðu 75% þeirra þrengsli í kransæð (2). Kransæðarnar voru kvikmyndaðar og þverskornar með þriggja millimetra bili. Segar fundust hjá 74 og skellusprunga (plaque fissure) hjá 21, en ekkert slíkt hjá 100 manna viðmiðunarhóp sem dó um svipað leyti. Kransæðamyndatökur hjá sjúklingum með brátt hjartadrep hafa leitt í ljós, að æðarnar eru oftast stíflaðar í upphafi en geta opnast aftur með hjálp segaleysandi efna í líkamanum.
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Neðst á síðunni er hægt að nálgast greinina í heild sinni með því að smella á hlekkinn Skoða/Opna(view/open)
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