| Abstract | UVOD: Akutni infarkt miokarda najčešći je akutni oblik kardiovaskularnih bolesti koji na globalnoj razini zahvaća 3 milijuna ljudi, a javlja se uslijed smanjenog ili zaustavljenog protoka krvi u dio srčanog mišića. Stopa smrtnosti uslijed infarkta miokarda značajno se smanjuje zbog uspješnosti perkutane koronarne intervencije u otklanjaju blokade koronarne arterije, no bolnička smrtnost se i dalje kreće od 4 do 12%.
CILJ: Procijeniti incidenciju akutnog infarkta miokarda u Thalassotherapiji Opatija u vremenskom periodu od 01.01.2017. do 01.01.2023. godine, te usporediti istu obzirom na spol, dob i uspješnost liječenja.
METODE: U istraživanje su uključeni ispitanici koji su u navedenom vremenskom razdoblju zaprimljeni u angio-salu Thalassotherapije Opatija uslijed akutnog infarkta miokarda. Podaci potrebni za istraživanje prikupljani su retrogradno pomoću medicinske dokumentacije i bolničkog informatičkog sustava, a statistička obrada podataka provedena je u programu Statistica. Testiranje hipoteza provedeno je neparametrijskim Mann-Whitney U testom i Fisher egzaktnim testom na razini statističke značajnosti od p <0,05 (5%).
REZULTATI: U vremenskom periodu od 01.01.2017. do 01.01.2023. godine u angio-sali Thalassotherapije Opatija zaprimljno je 5 300 ispitanika, od čega 0,70% (n=37) uslijed akutnog infarkta miokarda. Od ukupnog broja ispitanika zaprimljenih s dijagnozom akutnog infarkta miokarda, ispitanici muškog spola činili su 80,08% , a ispitanici ženskog spola samo 18,92%. ispitanici su u prosjeku imali 68,08 godina, a uslijed akutnog infarkta miokarda u angio-salu zaprimljeno je 78,38% ispitanika starijih od 60 godina te 21,62% ispitanika mlađih od 60 godina. Do uspješnog otklanjanja okluzije krvne žile tijekom PCI došlo je kod 94,6% ispitanika, dok je do smrtnog ishoda kod ispitanika s akutnim infarktom miokarda došlo kod 5,4% (n=2) ispitanika.
ZAKLJUČAK: Perkutana koronarna intervencija iznimno je uspješna metoda liječenja akutnog infarkta miokarda. |
| Abstract (english) | ABSTRACT
INTRODUCTION: Acute myocardial infarction is the most common acute form of cardiovascular disease that affects 3 million people globally and occurs due to reduced or stopped blood flow to part of the heart muscle. The mortality rate due to myocardial infarction is significantly reduced due to the success of percutaneous coronary intervention in the removal of coronary artery blockage, but hospital mortality still ranges from 4 to 12%.
OBJECTIVE: To evaluate the incidence of acute myocardial infarction in Thalassotherapy Opatija in the period from January 1, 2017. until 01.01.2023. years, and compare the same with respect to gender, age and treatment success.
METHODS: The study included subjects who were admitted to the coronary unit of Thalassotherapy in Opatija due to acute myocardial infarction during the specified period. The data required for the research were collected retrogradely using medical documentation and the hospital's IT system, and the statistical processing of the data was carried out in the Statistica program. Hypothesis testing was performed with the non-parametric Mann-Whitney U test and the Fisher exact test at the level of statistical significance of p <0.05 (5%).
RESULTS: In the period from 01.01.2017. until 01.01.2023. 5,300 subjects were treated in the angio-room of Thalassotherapy in Opatija, of which 0.70% (n=37) were due to acute myocardial infarction. Of the total number of subjects admitted with a diagnosis of acute myocardial infarction, male subjects made up 80.08%, and female subjects only 18.92%. The average age of subjects was 68.08 years, and due to acute myocardial infarction, 78.38% of subjects over 60 years of age and 21.62% of subjects under 60 years of age were admitted to the angio room. Successful elimination of blood vessel occlusion during PCI occurred in 94.6% of subjects, while death in subjects with acute myocardial infarction occurred in 5.4% (n=2) of subjects.
CONCLUSION: Percutaneous coronary intervention is an extremely successful method of treating acute myocardial infarction. |
