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Biomedical subjects

N Ratković

Publications and source records attributed to N Ratković.

5 recordsLinked to original sources
PubMedDate not supplied

[Myocardial reinfarction].

A total number of 1924 patients were treated for acute myocardial infarction (AMI) at the Clinic for Urgent Medicine at the Military Medical Academy during the period of seven years (1991-1997). These myocardial infarctions were at different locations, the mean age of patients was 63.7 +/- 6.2, in male patients 1192 (61.9%) and 732 (38.1%) in female ones. Out of that number of patients, 406 (21.1%) had recurrent myocard infarction (RMI), 254 (62.6%) males and 152 (37.4%) females, of average age 64.8 +/- 8.3 years. Statistically, no significant differences were observed in those two groups of patients, concerning their age, location of myocardial infarction and administration of fibrinolytic therapy. There were, however, significant differences concerning the complications, primarily cardiac insufficiency, malignant arrhythmias, AV block II0 and III0, applications of temporary or permanent pacemaker and finally mortality. During intrahospital phase of treatment, in the first few months, obtained results revealed that the patients suffering from RMI had multiple and serious complications and that cardiac insufficiency was the main cause of high mortality rate in those patients.

Female↗
PubMedDate not supplied

[Endobronchial metastases in extrapulmonary malignant tumors].

Endobronchial metastases of extrapulmonary malignant tumors are very rare and they appear in 1-2% of all the pulmonary metastases cases. By their endoscopic presentation, they are similar to primary bronchogenic carcinoma. Eleven patients with endobronchial metastases were presented, 8 male and 3 female. The average age was 58.27 years (from 37 to 72 years). Primary renal carcinoma existed in 2 patients. The one was operated 5 years before the metastases appeared in bronchus, and the metastases in bronchial wall contributed to the discovery of primary tumor in the other patient. Endobronchial metastases appeared in 3 patients, 2 years after the surgery of malignant colonic or rectal tumor, and in fourth patient it appeared 5 years after the surgery. One female patient sustained mastectomy and the radiation therapy was performed 11 years before the bronchial metastases occurred and the other female patient had the disease revealed a year ago and the polytherapy was performed. In the female patient with non Hodgkin Lymphoma, the change in bronchus was revealed simultaneously as the primary disease. Endobronchial metastases appeared in 2 patients two years after the surgery of malignant melanoma. The disease diagnosis was set by clinical-radiological examination, by endoscopy and by the comparison of histopathologic finding of primary carcinoma and metastases.

Adult↗
PubMedDate not supplied

[Analysis of antihypertensive therapy in patients before acute cerebral ischemic disease].

The adequacy of therapeutic program for hypertensive disease in the patients with ischemic brain disease was analyzed in the study related to the administration of the drugs divided by the groups of antihypertensive drugs. The results had demonstrated that in over 50% patients the therapy had to be changed by introducing at least one hypertensive drug from the other group. In many cases were observed inadequate doses of antihypertensive drugs and the prescription of antihypertensive drug in minimal dose, although therapeutic response was not adequate. In significant number of cases (over 80%), the patients were irregularly taking the prescribed therapy, and only 18% had the regular controls. The results of this investigation indicated that on one side did not exist the adequate therapeutic program for hypertension control and on the other the significant number of patients irregularly used the proposed therapy and did not control the disease regularly.

Antihypertensive Agents↗