Vývoj autonomních parametrů u pacientů po infarktu myokardu s ST elevacemi
| Title in English | The progress of autonomic parameters in patients after myocardial infarction with ST elevation |
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| Authors | |
| Year of publication | 2010 |
| Type | Article in Periodical |
| Magazine / Source | Vnitřní lékařství |
| MU Faculty or unit | |
| Citation | |
| Field | Cardiovascular diseases incl. cardiosurgery |
| Keywords | Myocardial infarction with ST elevation; baroreflex sensitivity; autonomic dysfunction. |
| Description | The patients after myocardial infarction with ST elevation (STEMI) are endangered by the development inception of autonomic dysfunction, decreased baroreflex sensitivity, decreased heart rate variability, and increased blood pressure variability as a result of increased sympathetic activity and/or decreased parasympathetic activity. Thanks to direct angioplasty and optimal pharmacotherapy of coronary artery disease and heart failure, we did not found any significant changes of these parameters within a one-year folow-up, and mortality due to cardiac etiology was very low in this group. Automatic dysfunction and negative left ventricular remodeling is related only to a small group of patients after STEMI, whose risk stratification will be difficult. |
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