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Articolul urmator |
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Ultima descărcare din IBN: 2024-02-06 20:28 |
SM ISO690:2012 PREDENCIUC, Alexandru, CULIUC, Vasile, BZOVÎI, Florin, SMOLNIŢCHI, Roman, CASIAN, Dumitru. Caracteristicele clinice și demografice ale pacienților cu ischemie acută a extremităților. In: Congresul consacrat aniversării a 75-a de la fondarea Universității de Stat de Medicină şi Farmacie „Nicolae Testemiţanu”, 21-23 octombrie 2020, Chişinău. Chişinău: USMF, 2020, p. 439. |
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Congresul consacrat aniversării a 75-a de la fondarea Universității de Stat de Medicină şi Farmacie „Nicolae Testemiţanu” 2020 | ||||||
Congresul "Congresul consacrat aniversării a 75-a de la fondarea Universității de Stat de Medicină şi Farmacie „Nicolae Testemiţanu”" Chişinău, Moldova, 21-23 octombrie 2020 | ||||||
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Pag. 439-439 | ||||||
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Background. Acute limb ischemia (ALI) is a common vascular emergency associated with high postoperative morbidity and mortality. Objective of the study. Aim of study was to analyze the clinical and demographic characteristics of the patients with ALI, highlighting potential treatment challenges. Material and Methods. Data of 58 patients (age – 72.5 (63-79) years, male – 50%) with ALI supposed to revascularization during a 6 months period were analyzed descriptively. Values are presented as number (%) or median (interquartile range). Results. Lower limbs were affected in 43 (74%) cases. Time from ALI onset to patient hospitalization was 12 (4-96) hours; >6 hours – in 37 (63%) cases. Immediately threatened (grade IIB) ALI was diagnosed in 20 (34%) patients. Duration of ALI was higher in grade IIB vs grades I-IIA: 41 (6-96) vs 7 (2-32) hours (p<0.05). Embolism was diagnosed in 48 (82%) patients. Only 7/38 (18%) patients with atrial fibrillation were on warfarin (INR<2 in all cases). Among patients with thrombosis only 4 (40%) were on ongoing antiplatelet therapy. Comorbidities: hypertension – 45 (77%) patients, coronary artery disease – 45 (77%), heart failure – 40 (68%), renal failure – 30 (51%). Conclusion. The subset of patients operated for ALI is characterized by elevated grade of frailty, substantial rate of cases with advanced ischemia and suboptimal use of antithrombotic drugs. Identification and correction of modifiable risk factors can potentially improve the treatment outcomes |
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Cuvinte-cheie acute ischemia, antithrombotic treatment, comorbidities, ischemie acută, tratament antitrombotic, comorbidități |
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