فهرست:
فصل اول: مقدمه و مروری بر مطالعات مشابه. 1
۱-۱- بیماری‌های ایسکمیک قلبی( (IHD... 2
1-1-1- اپیدمیولوژی.. 2
1-1-2- پاتوفیزیولوژی.. 3
1-1-3- آترواسکلروز کرونر. 4
1-1-4- آثار ایسکمی.. 6
1-1-4-1- بیماری ایسکمیک قلبی علامتدار و بیعلامت... 7
1-2- آنژین ناپایدار و انفارکتوس میوکارد بدون بالارفتن قطعهST.. 8
1-2-1- تعریف... 9
1-2-2- پاتوفیزیولوژی.. 9
1-2-3- تظاهرات بالینی.. 10
1-2-4- یافته‌های پاراکلینیک.... 11
1-2-5- ارزیابی تشخیصی.. 12
1-2-6- ارزیابی خطرات و پیشآگهی.. 13
1-2-7- درمان آنژین ناپایدار و انفارکتوس میوکارد بدون بالارفتن قطعهی ST. 15
1-2-8- استراتژی تهاجمی در برابر محافظهکارانه. 18
1-2-9- درمان طولانیمدت... 19
1-2-10- آنژین واریان پرینزمتال.. 20
1-2-10-1- اتیولوژی.. 20
1-2-10-2- تظاهرات بالینی و آنژیوگرافیک.... 20
1-2-10-3- درمان آنژین واریان پرینزمتال.. 21
1-2-10-4- پیش آگهی در آنژین واریان پرینزمتال.. 22
1-3- انفارکتوس میوکارد با بالا رفتن قطعه ST.. 22
1-3-1- اپیدمیولوژی و اهمیت ارزیابی انفارکتوس میوکارد با بالا رفتن قطعه ST. 22
1-3-2- پاتوفیزیولوژی.. 23
1-3-3- تظاهرات بالینی و یافته‌های فیزیکی.. 25
1-3-4- پاراکلینیک در انفارکتوس میوکارد با بالا رفتن قطعه ST. 27
1-3-4-1- یافته‌های آزمایشگاهی.. 27
1-3-4-2- الکتروکاردیوگرام. 28
1-3-4-3- بیومارکرهای قلبی سرم. 28
1-3-4-4- تصویربرداری از قلب... 30
1-4- درمان مقدماتی انفارکتوس میوکارد با بالا رفتن قطعه ST.. 31
1-4-1- مراقبت پیش بیمارستانی.. 31
1-4-2- درمان در بخش اورژانس.... 32
1-4-2-1- کنترل درد. 33
1-4-2-2- استراتژی‌های درمانی.. 34
1-5- درمان انفارکتوس میوکارد با بالا رفتن قطعه ST در بیمارستان.. 41
1-5-1- درمان دارویی.. 43
1-5-1-1- عوامل آنتی ترومبوتیک.... 43
1-5-1-2- بتابلوکرها 45
1-5-1-3- مهارکننده‌های سیستم رنین- آنژیوتانسین- آلدوسترون.. 46
1-6- عوارض ناشی از انفارکتوس میوکارد. 47
1-6-1- سوء عملکرد بطنی.. 47
1-6-2- ارزیابی همودینامیکی: 48
1-6-3- شوک کاردیوژنیک: 49
1-6-4- آریتمی.. 49
1-6-5- ضربان‌های پیش رس بطنی.. 49
1-6-7- فیبریلاسیون و تاکی کاردی بطنی.. 50
1-6-8- آریتمی‌های فوق بطنی.. 51
1-6-9- برادی کاردی سینوسی.. 51
1-6-10- پریکاردیت... 52
1-6-11- ترومبوآمبولی.. 52
1-6-12- آنوریسم بطن چپ... 53
1-6-12-1- تعریف... 53
1-6-12-2- تاریخچه. 53
1-6-12-3- علائم بالینی.. 54
1-6-12-4- جراحی آنوریسم بطن چپ... 55
1-6-12-5- ریسک فاکتورهای مرگ ومیر زودرس: 56
1-6-12-6- ریسک فاکتورهای مرگ و میر دیر رس.... 57
1-6-12-7- میزان بقا 57
1-7- مروری بر مطالعات مشابه. 57
فصل دوم: مواد و روش‌ها 63
2-1- بیان مسئله و اهمیت آن.. 64
2-2- عنوان طرح.. 65
2-3- جامعه مورد بررسی.. 65
2-4- حجم نمونه. 65
2-5- نوع و روش مطالعه. 65
2-6- مکان و زمان مطالعه. 65
2-7- معیارهای ورود. 66
2-8- معیارهای خروج.. 66
2-9- هدف کلی.. 66
2-10- اهداف ویژه 66
2-11- روش انجام کار 68
2-12- روش تجزیه و تحلیل داده‌ها 68
2-13- متغیرها 68
فصل سوم: یافته‌ها 70
3-1- نتایج.. 71
فصل چهارم: بحث ، نتیجه گیری و پیشنهادات... 104
4-1- بحث... 105
4-2- نتیجه گیری.. 108
4-3- پیشنهادات... 108
Abstract.. 109
منابع.. 110
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