Újraélesztést követő koszorúér-angiográfia és katéteres intervenció

Abstract

Out-of-hospital cardiac arrest (OHCA) presents a great challenge for the health care systems even in the highly developed countries. For several decades, our greatest efforts have been directed toward the improvement of the prehospital management, including promotion of lay resuscitation and deployment of public access automated defibrillators. Recently, the importance of the hospital phase of the OHCA-management has been also emphasized. Attention has been paid to targeted temperature management and also to early coronary intervention. For those patients who present with ST-elevation on their post-resuscitation ECG, our approach is straightforward: urgent coronary angiography is indicated. The optimal management of those survivors of OHCA who present without ST-elevation is, however, still debated. Although up to 30% of these subjects also suffer from acute occlusive epicardial coronary disease, the clear benefit of urgent coronary angiography for the whole group is yet to be documented. Several large-scale randomized studies are under way to resolve this question. In our present review we detail the above controversies and outline the future directions. Orv Hetil. 2019; 160(46): 1826–1831.

The Predictive Effect of Negative Psychological Emotions of Anxiety and Depression on the Poor Prognosis of CHD Patients with Stent Implantation and the Improvement of Clinical Intervention Measures

“…In recent years, more and more attention has been paid to the role of psychological factors, especially anxiety and depression, in the occurrence and development of CHD. Heart attack and PCI surgery itself as stressors make patients aware of the threat of their own disease to life, resulting in many patients with anxiety and depression after PCI, while anxiety and depression can reduce patients' compliance with treatment and greatly reduce their clinical benefits [ 8 – 10 ]. Based on this, this study surveyed the value of anxiety and depression assessment in 303 patients with CHD who underwent PCI stent implantation in our hospital from February 2019 to April 2021.…”