108 research outputs found
Hyponatremia in chronic heart failure
Hiponatrijemija je biljeg poveÄanog rizika za neželjeni ishod u bolesnika s kroniÄnim srÄanim zatajivanjem i kliniÄki parametar koji u rutinskom radu zahtjeva posebnu pažnju. Uz terapijske opcije meÄu kojima raspolažemo restrikcijom unosa tekuÄine, primjenom hipertoniÄne otopine NaCl, diuretika Henleove petlje, ACE-inhibitora, antagonista AVP-receptora i njihovim kombinacijama, uz mnogobrojna otvorena pitanja, sada se kljuÄnim nameÄe detaljna procjena bolesnika i individualna prilagodba terapijskog pristupa. Hipovolemijska hiponatrijemija samo je jedna od znaÄajnih inaÄica ovog kliniÄkog stanja o kojoj moramo voditi raÄuna pri lijeÄenju. OÄekuju se rezultati novih prospektivnih, dvostruko slijepih i placebom kontroliranih studija za konaÄno definiranje otvorenih pitanja unutar ovog iznimno znaÄajnog podruÄja suvremene kardioloÅ”ke prakse.Hyponatremia is a marker of increased risk for adverse outcome in patients with chronic heart failure and a clinical parameter that requires special attention in routine practice. In addition to the treatment options including the restriction of fluid intake, by administering hypertonic saline, loop diuretics, ACE-inhibitors, antagonists of AVP-receptors and combinations thereof, in addition to numerous open questions, now the detailed assessment of patients and individual adaptation of the therapeutic approach is imposed as a crucial issue. Hypovolemic hyponatremia is just one of the most significant versions of this clinical condition which we have to take into account during the treatment. The results of new prospective, double-blind and placebo-controlled studies are expected as to finally define the open issues within this extremely important area of contemporary cardiology practice
Život na zelenom otoku: intervju s prim. dr. sc. SiniŔom Carem
Poznat po Å”iroku osmijehu, cijenjen i uvijek rado viÄen, ostvaren na struÄnom i znanstvenom polju, kardiolog koji je razvio trajnu elektrostimulaciju u Varaždinu, uz doktorat znanosti i primarijat, nastavnik i erudit, dr. SiniÅ”a Car izazvao je veliku pozornost hrvatskih medija kada se odazvao apelima za preuzimanje ordinacije obiteljske medicine na otoku Mljetu. Iako su mnogi bili iznenaÄeni, a sama je vijest poprimila pomalo senzacionalistiÄki karakter, veliki broj prijatelja i znanaca dr. Cara doživio je potez logiÄnim i na neki naÄin oÄekivanim
Znanje dostupno svima ā smjernice Europskoga kardioloÅ”kog druÅ”tva
Europsko kardioloÅ”ko druÅ”tvo (European Society of Cardiology ā ESC) struÄna je i znanstvena organizacija posveÄena trajnom unaprjeÄenju kardiovaskularne prakse zasnovane na dokazima. ESC okuplja nacionalna kardioloÅ”ka druÅ”tva i s iznimnom uspjeÅ”noÅ”Äu potiÄe sve kljuÄne elemente u razvoju suvremene kardiologije. PosveÄenost znanju jedno je od kljuÄnih opredjeljenja ESC-a pa se na mrežnim stranicama druÅ”tva mogu potpuno besplatno preuzeti integralni tekstovi svih smjernica te drugi korisni edukativni materijali
Weight Loss and Maintenance in Overweight and Obese Patients with Cardiovascular Disease
We assessed 87 overweight and obese patients with cardiovascular disease in order to explore the weight change over time, and related psychological, behavioural and environmental variables. After hospitalisation, all patients received recommendations for decreased calorie intake combined with physical activity. All of them were contacted for a follow-up after 6 to 23 months in person (N = 43) or in a telephone interview (N = 44). Results show that patients who attended the follow-up in person increased their weight significantly less and maintained their body weight more successfully in comparison with the group of patients contacted over telephone. In the present study, the most desirable techniques for weight reduction seem to be the low calorie diet and exercise. However, the level of attendance at received recommendations for dieting and exercise was not satisfactory. Patients reported different reasons that interfered with their weight loss attempt, such as problems at work or financial problems. We have discussed the necessity of continued contact and support for patients in the period of loss and maintenance of weight loss, considering their psychological, behavioural and environmental problems, and particularities
CARDIAC REHABILITATION : PREPARATION AND TRAINING FOR PERMANENT SECONDARY PREVENTION
Kardiovaskularne bolesti vodeÄi su uzrok smrti u razvijenom svijetu i najvažniji javnozdravstveni problem. U ovom Älanku predstavljamo odrednice, protokole, kliniÄku cjelovitost i važnost kardioloÅ”ke rehabilitacije i sekundarne kardioloÅ”ke prevencijeCardiovascular diseases are the leading cause of death in developed societies, representing the most important public health problem. In this article, we are presenting the background, protocols, implementation and importance of cardiac rehabilitation and secondary cardiac preventio
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