期刊名称：Aktuelnosti iz Neurologije, Psihijatrije i Graničnih Područja
印刷版ISSN：0354-2726
出版年度：2005
卷号：XIII
期号：3-4
页码：73-79
出版社：Clinical Center of Vojvodina
摘要：Introduction: Myocardial infarction is defined as necrosis of the myocardium caused by rapid decrease in or total occlusion of blood circulation in one part of the myocardium, which is severe enough to prevent adequate blood supply to the myocardium and lasts enough to cause irreversible metabolic damage to the myocardial cell and its eventual death. When myocardial infarction is caused by atherosclerotic formation of a thrombus occluding the blood vessel, one of the approaches is to establish reperfusion in the occluded blood vessel. This can be achieved in two ways: with fibrinolysis and with mechanical reperfusion. The latter should be done within 12 hours after the symptom onset. We present a patient with acute myocardial infarction of the posteroinferior wall and right ventricle, complete atrioventricular block and arterial hypotension, in whom primary percutaneous coronary intervention with implantation of two stents in the occluded arterial blood vessel was performed successfully following implantation of a temporary pacemaker. During the six-month follow-up, patient felt well and non-invasive diagnostic procedures showed no reoccurrence of myocardial ischemia. Conclusion: Mechanical reperfusion provides rapid, efficacious and safe recanalisation of the infarcted vessel, showing excellent results even in clinically severe patients
