891 KB0 KB192920262025Arih, KristinaGužič-Salobir, BarbaraPodnar, JonasŠtalc, Monikaštevilka:5/6letnik:94str. 109-118DOI:10.6016/ZdravVestn.3601ISSN:1318-0347COBISSID:243629571URN:URN:NBN:SI:doc-B7WVJS8MslSlovensko zdravniško društvoZdravniški vestnikinvasive coronarographyischemiaishemijakoronarografijamyocardial perfusion scintigraphyobstructive coronary artery diseaseobstruktivna koronarna bolezenperfuzijska scintigrafija srcarevascularizationrevaskularizacijaObravnava ambulantnih bolnikov z ishemijo pri perfuzijski scintigrafiji srca| Management of outpatients with ischemia in myocardial perfusion scintigraphy|Background: Myocardial ischemia is a complex condition, which means a worse prognosis for the patient. Myocardial perfusion scintigraphy (MPS) is a non-invasive method used to detect the presence of ischemia. With our study, we aimed to gather data on the management of patients with ischemia detected by MPS, as such data have not previously been available in Slovenia. Methods: In our study, we included 306 outpatients who were found to have ischemia on MPS in 2020. Demographic, clin-ical, and scintigraphic data, as well as information on referrals for coronary angiography and revascularization procedures, were collected from the the nuclear medicine division’s database and patient records.Results: Coronary angiography was performed in 74% of patients who reported typical chest pain (40% vs. 23%, p=0.005) and dyspnea (50% vs. 38%, p=0.051) more frequently than those not referred. A significantly higher proportion of patients with moderate and severe ischemia were referred for coronary angiography compared to those with mild ischemia (83% vs. 65%, p=0.003; 93% vs. 65%, p<0.001), and more patients with severe ischemia were referred than those with moderate ischemia (93% vs. 83%, p=0.003). Additionally, a higher percentage of patients with ischemia affecting more than 10% of the myocardium underwent revascularization (84% vs. 61%, p=0.036).Conclusion: Physicians refer most patients with ischemia detected by PSM for coronary angiography. The extent of isch-emia plays a significant role in the further management of patients, influencing decisions regarding referrals for coronary angiography and revascularization proceduresIzhodišče: Ishemija srčne mišice je kompleksno dogajanje, ki pomeni za bolnika slabši izid. Perfuzijska scintigrafija srca (PSM) je neinvazivna metoda, s katero ugotavljamo prisotnost ishemije. Namen naše raziskave je bil pridobiti podatke o obravnavi bolnikov z ugotovljeno ishemijo pri PSM, saj le-teh v slovenskem prostoru doslej nismo imeli na voljo.Metode: V raziskavo smo vključili 306 ambulantno obravnavanih bolnikov, ki so jim v letu 2020 pri PSM ugotovili ishemijo. Iz baze podatkov Klinike za nuklearno medicino in iz informacijskih sistemov smo zbrali demografske, klinične in scinti-grafske podatke ter podatke o napotitvi na koronarografijo in podatke o revaskularizacijskih posegih.Rezultati: Na koronarografijo so napotili 74 % bolnikov, ki so imeli značilno več tipične prsne bolečine (40 % vs. 23 %, p=0,005) in dispneje (50 % vs. 38 %, p=0,051) kot nenapoteni bolniki. Na koronarografijo so napotili značilno več bolnikov z zmerno in hudo ishemijo kot pa bolnikov z blago ishemijo (83 % vs. 65 %, p=0,003; 93 % vs. 65 %, p<0,001) ter več bolnikov s hudo ishemijo kot tistih z zmerno ishemijo (93 % vs. 83 %, p=0,003). Pri večjem deležu bolnikov z obsegom ishemije nad 10 % je bil nato opravljen revaskularizacijski poseg (84 % vs. 61 %, p=0,036).Zaključek: Zdravniki večino bolnikov z ishemijo pri PSM napotijo na koronarografijo. Obseg ishemije je povezan z napoti-tvijo na koronarografijo in odločitvijo za revaskularizacijske posegeTEXTznanstveno časopisjejournalsSlovenian National E-content AggregatorNational and University Library of SloveniaSlovensko zdravniško društvo