Stable Angina Pectoris - Conservative or Intervention Treatment

Abstract

Današnja terapija acetilsalicilnom kiselinom i statinima smanjuje mortalitet i morbiditet bolesnika i pobolj- šava preživljenje bolesnika s kroničnom stabilnom anginom pektoris i očuvanom funkcijom lijeve klijetke. Druga antianginalna terapija (nitrati dugotrajnog djelovanja, beta-blokatori, antagonisti kalcijevih kanala) smanjuje ili prevenira anginalne simptome, ali nije dokazano da poboljšava preživljenje. U bolesnika s oslabljenom funkcijom lijeve klijetke nakon preboljelog infarkta srca liječenje beta-blokatorima i ACE-inhibitorima smanjuje mortalitet i rizik od ponovnog infarkta. Intervencijsko liječenje kronične stabilne angine pektoris, kako invazivno kardiološko tako i kardiokirurško, značajno smanjuju simptomatologiju angine pektoris, prorjeđuju učestalost reinfarkta i potrebu za ponovnom hospitalizacijom, ali ne utječu na produljenje života.The current medicament therapy with acetylsalicylic acid and statins lowers the mortality and morbidity of patients and improves survival of patients with chronic stabile angina pectoris and preserved function of the left ventricle. The other anti-anginal medicament therapy (long activity nitrates, beta-blockers, calcium channel antagonists) diminishes or prevents anginal symptoms, but it has not been proven that such therapy improves survival. In patients with weakened left ventricle function after myocardial infarction treatment with beta-blockers and ACE inhibitors reduces mortality and the risk of repeated infarction. The intervention treatment of chronic stable angina pectoris, both invasive cardiological and cardiosurgical, significantly lessen the symptomatology of angina pectoris, reduce the frequency of new infarctions and the need for repeated hospitalization, but do not influence the prolongation of life

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