ISCHEMIC HEART DISEASE, THE WAY OF TREATMENT AND ITS TIMING AFFECTS OCCURRING OF COMPLICATIONS AND THE PROGNOSIS OF THE DISEASE

Nadir Ajruli, Valon Asani, Nexhbedin Abazi, Beqir Ajruli

Abstract

Introduction: Ischemic heart disease (IHD) is a condition defined as not adequate perfusion of the myocard with blood. In 95% of the cases, it is caused by an atherosclerosis, in other words, because of an obstruction in the coronary arterial circulation. Epidemiologically, ischemic heart disease, haves the highest mortality rate in developing countires, than any other disease. Methods: In diagnostic and therapeutic investigations, which have taken part in the Department of Internal Medicine and Interventional Cardiology Center in Tetovo, methods which have been used during the study are: electrocardiography, echocardiography, stres-echocardiography and angiography. Results: 148 patients have been involved in the study, 92 of which males, while 56 females, which have been observed for one year. With conservative therapy have been treated 62% of them, while with interventional procedures, 38% of the cases. From those treated with conservative therapy, 80.5% haven’t shown complications, 17.5% of the cases have shown compliactions while 2% have ended lethally. From the cases treated with interventional procedures, 96.5% haven’t shown any complications, while 3.5% have shown complications. According to the study, the interventional treatment is more successful. Conclusion: Percutaneous coronary intervention as a methode shows better prognosis at the patients with IHD. The success of the conservative treatment is directly depending on the time of appliaction, meaning the prognosis is better if the patient is treated in the first hours after the first symptoms appear.

Pages: 65 - 70