{"id":1019407,"date":"2025-12-10T22:45:25","date_gmt":"2025-12-10T19:45:25","guid":{"rendered":"https:\/\/analyse.optim.biz\/?p=1019407"},"modified":"2025-12-10T22:45:25","modified_gmt":"2025-12-10T19:45:25","slug":"afectare-vasculara-cardiaca-cu-risc-de-moarte-subita-tratata-interventional-la-arcadia","status":"publish","type":"post","link":"https:\/\/analyse.optim.biz\/?p=1019407","title":{"rendered":"Afectare vascular\u0103 cardiac\u0103 cu risc de moarte subit\u0103, tratat\u0103 interven\u021bional la Arcadia"},"content":{"rendered":"<div class=\"entry-content\">\n<div id=\"attachment_318259\" class=\"wp-caption alignright\"><img decoding=\"async\" aria-describedby=\"caption-attachment-318259\" loading=\"lazy\" class=\"size-medium wp-image-318259\" src=\"https:\/\/analyse.optim.biz\/wp-content\/uploads\/2025\/12\/nedelciuc-igor-300x197-1.png\" width=\"300\" height=\"197\" title=\"nedelciuc-igor-300x197-1\"><\/p>\n<p id=\"caption-attachment-318259\" class=\"wp-caption-text\"><a href=\"https:\/\/www.arcadiamedical.ro\/echipa-medicala\/nedelciuc-igor#medinfo\">Dr. Igor Nedelciuc<\/a>, medic primar Cardiologie, <a href=\"http:\/\/www.arcadiacardio.ro\">Arcadia<\/a><\/p>\n<\/div>\n<p>O pacient\u0103 \u00een v\u00e2rst\u0103 de 71 de ani s-a adresat Spitalului de Cardiologie Clinic\u0103 \u0219i Interven\u021bional\u0103 Arcadia pentru <strong>dureri puternice \u00een piept,<\/strong> manifestate de c\u00e2teva luni sub forma unor <strong>crize foarte severe care ap\u0103reau la cel mai mic efort.<\/strong> Durerile se asociau cu <strong>ame\u021beal\u0103, panic\u0103 \u0219i lips\u0103 de aer,<\/strong> determin\u00e2nd pacienta s\u0103 se opreasc\u0103 din orice tip de activitate \u0219i s\u0103 a\u0219tepte s\u0103 treac\u0103. Crizele durau de la c\u00e2teva minute p\u00e2n\u0103 la c\u00e2teva zeci de minute \u0219i se remiteau spontan.<\/p>\n<p>\u00a0<\/p>\n<p><strong>Acest tip de simptomatologie ridic\u0103 o mare suspiciune, indic\u00e2nd o posibil\u0103 afectare circulatorie cardiac\u0103 \u0219i necesit\u0103 \u00een mod obligatoriu explorare coronarografic\u0103.<\/strong> \u00cen afara crizelor, pacientul poate p\u0103rea clinic s\u0103n\u0103tos, cu electrocardiogram\u0103, tensiune arterial\u0103 \u0219i ecocardiografie normale, \u00eens\u0103 simptomatologia descris\u0103 nu trebuie neglijat\u0103. Principala recomandare \u00een astfel de cazuri este explorarea coronarografic\u0103 \u00eentruc\u00e2t investiga\u021biile paraclinice, cum ar fi electrocardiograma sau ecocardiografia, nu exclud o patologie vascular\u0103 cardiac\u0103, ci doar indic\u0103 faptul c\u0103 inima nu a suferit \u00eenc\u0103 modific\u0103ri ireversibile.<\/p>\n<p><strong>Coronarografia realizat\u0103 pacientei a eviden\u021biat artera principal\u0103 a inimii \u2013 trunchiul principal coronarian st\u00e2ng \u2013 \u00eenfundat\u0103 \u00een propor\u021bie de 99%,<\/strong> ceea ce \u00eenseamn\u0103 c\u0103 2\/3 din suprafa\u021ba cardiac\u0103 nu beneficia de o o circula\u021bie coronarian\u0103 adecvat\u0103. Acest tip de afectare vascular\u0103 cardiac\u0103 este <strong>principala cauz\u0103 de moarte subit\u0103<\/strong> \u00eentruc\u00e2t nu exist\u0103 nicio \u0219ans\u0103 de supravie\u021buire atunci c\u00e2nd se \u00eenfund\u0103 o arter\u0103 care presupune un teritoriu implicat foarte mare.<\/p>\n<p>\u00a0<\/p>\n<p>Trunchiul principal coronarian fiind \u00eenchis subtotal, <strong>\u0219ansa de a avea o reu\u0219it\u0103 cu tratament medicamentos este spre zero. <\/strong>La acest tip de pacien\u021bi <strong>se impune interven\u021bia \u00een urgen\u021b\u0103 pentru a se reface circula\u021bia coronarian\u0103<\/strong> prin orice tip de metod\u0103 \u2013 chirurgical\u0103 sau interven\u021bional\u0103. Riscul de a nu se realiza nicio interven\u021bie este cel mai mare pentru pacient \u00eentruc\u00e2t riscul de moarte subit\u0103 dep\u0103\u0219e\u0219te considerabil riscul chirurgical \u0219i riscul interven\u021bional.<\/p>\n<p>\u00cen cazul pacientei, prin intermediul unei proceduri interven\u021bionale, cu ajutorul dispozitivelor medicale de care dispune Compartimentul de Cardiologie Interven\u021bional\u0103 Arcadia, s-a reu\u0219it <strong>deschiderea trunchiului coronarian st\u00e2ng, l\u0103rgirea sa cu balon \u0219i implantarea unui stent coronarian.<\/strong> C\u00e2nd s-a realizat explorarea coronarografic\u0103 a fost implantat \u0219i stentul pentru c\u0103 interven\u021bia nu putea fi am\u00e2nat\u0103.<\/p>\n<p>Aceast\u0103 procedur\u0103 de Cardiologie interven\u021bional\u0103 a normalizat fluxul coronarian, impact\u00e2nd considerabil starea pacientei. <strong>Odat\u0103 cu refacerea circula\u021biei coronariene normale, riscul de moarte subit\u0103 a fost eliminat, iar simptomele au disp\u0103rut.<\/strong><\/p>\n<p>\u00a0<\/p>\n<p>Interven\u021bia a durat \u00een jur de o or\u0103, iar internarea pacientei \u00een <a href=\"http:\/\/www.arcadiacardio.ro\">Spitalul de Cardiologie Clinic\u0103 \u0219i Interven\u021bional\u0103 Arcadia<\/a> a fost de 2 zile. <strong>Pacienta a revenit la control dup\u0103 o lun\u0103, interval \u00een care nu a mai prezentat simptome, deci starea sa s-a ameliorat semnificativ.<\/strong><\/p>\n<p>Av\u00e2nd un stent, <strong>pacienta necesit\u0103 tratament \u0219i controale medicale \u00een continuare.<\/strong> Tratamentul are drept obiective prevenirea progresiei patologiei, normalizarea dislipidemiei \u0219i prevenirea trombozei intrastent. Dac\u0103 simptomatologia dispare \u0219i timp de 6 luni nu reapare, aceasta fiind perioada critic\u0103, se consider\u0103 c\u0103 pericolul a fost eliminat. Controlul este doar clinic, electrocardiografic \u0219i ecocardiografic, principalul aspect urm\u0103rit fiind absen\u021ba simptomelor. C\u00e2t timp nu sunt simptome cardiace semnificative, nu se efectueaz\u0103 controale prin coronarografie. \u00cen cazul apari\u021biei simptomelor, este necesar\u0103 o coronarografie de control pentru c\u0103 stentul nu poate fi vizualizat direct prin nicio alt\u0103 metod\u0103, iar computer tomografia nu este foarte precis\u0103.<\/p>\n<p>Orice pacient care prezint\u0103 dureri \u00een piept necesit\u0103 un consult cardiologic, \u00een urma c\u0103ruia medicul cardiolog evalueaz\u0103 necesitatea unei explor\u0103ri \u00een detaliu prin intermediul coronarografiei. Pentru program\u0103ri, pacien\u021bii au la dispozi\u021bie num\u0103rul de telefon <strong>0232 920, Call Center Arcadia.<\/strong><\/p>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>Dr. Igor Nedelciuc, medic primar Cardiologie, Arcadia O pacient\u0103 \u00een v\u00e2rst\u0103 de 71 de ani s-a adresat Spitalului de Cardiologie Clinic\u0103 \u0219i Interven\u021bional\u0103 Arcadia pentru dureri puternice \u00een piept, manifestate de c\u00e2teva luni sub forma unor crize foarte severe care ap\u0103reau la cel mai mic efort. Durerile se asociau cu ame\u021beal\u0103, panic\u0103 \u0219i lips\u0103 de [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":1019408,"comment_status":"open","ping_status":"","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[89],"tags":[174],"class_list":["post-1019407","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-romania","tag-suceavanews-ro"],"_links":{"self":[{"href":"https:\/\/analyse.optim.biz\/index.php?rest_route=\/wp\/v2\/posts\/1019407","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/analyse.optim.biz\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/analyse.optim.biz\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/analyse.optim.biz\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/analyse.optim.biz\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=1019407"}],"version-history":[{"count":0,"href":"https:\/\/analyse.optim.biz\/index.php?rest_route=\/wp\/v2\/posts\/1019407\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/analyse.optim.biz\/index.php?rest_route=\/wp\/v2\/media\/1019408"}],"wp:attachment":[{"href":"https:\/\/analyse.optim.biz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=1019407"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/analyse.optim.biz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=1019407"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/analyse.optim.biz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=1019407"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}