In one of the most prestigious scientific journals in the field of medicine – New England Journal of Medicine – the results of the largest survey on patients with heart attack and subsequent cardiogenic shock were published, reported the UKC Ljubljana.
"The Clinical Department of Internal Intensive Care of the UKC Ljubljana Internal Clinic, which was among the ten centers with the most included patients, also contributed significantly to the implementation. Cardiogenic shock is a disease condition when the heart can not absorb enough blood to satisfy the need for organs and gradually decrease due to lack of oxygen.Reasons may vary: heart muscle infarction, inflammation of the heart muscle, heart valve disease.Cardiac infarction means the death of a part of the heart muscle due to a closed venous artery (a heart vessel supplying the heart muscle with oxygen rich blood) and is the most common cause of cardiogenic shock. Despite the progress of medicine, between 40 and 50 percent of patients who develop cardiogenic shock with heart muscle injuries still die in We treat these patients with the of the closed artery as fast as possible, "they wrote in a press release.
They added that the study answered the question of the most effective way to treat patients who developed cardiogenic shock due to a heart attack: if it is appropriate to extend only one closed artery of the artery or if it is better to supply all the other narrower arteries? The results of the study showed that patients with cardiogenic shock due to heart muscle infarction who, when hospitalized, only have closed venous artery, even after one year, present better survival than patients, where, immediately after hospital admission, we try to expand the entire venous space narrow or closed. arteries.
The research was funded by the European Union under the Seventh Framework Program and was carried out in more than 80 hospitals in 11 European countries. During the four years (between April 2013 and April 2017), 706 patients were included in the study. Among the authors of the article are prof. dr. Marko Nightdr. med. and doc. dr. Tomaž Goslardr. med., of the clinical department of intensive internal medicine of the UKC internal clinic Ljubljana.