Infarctul miocardic acut si boala cardiaca ischemica

"...la toti pacientii cu infarct miocardic clinic dovedit." (pg. 1495) ... cum poate fi un IMA dovedit clinic? ...

"The erythrocyte sedimentation rate rises more slowly than the white blood cell count..."
"viteza de sedimentare a hematiilor creste mai usor decat numarul de lecuocite" (pg. 1495)
:-)

"Patients treated within 12 h who are eligible for thrombolytic therapy should expeditiously receive either t-PA or SK or be considered for primary percutaneous transluminal coronary angioplasty (PTCA)."
"Pacientii tratati in 12 ore care sunt eligibili pentru terapia trombolitica trebuie sa primeasca rapid fie t-PA, fie SK sau sa candideze pentru angioplastie coronariana percutana" (pg. 1496)...nici nu imi pot imagina campania electorala ( atat de trista mi se pare).

"The process of selecting patients for thrombolysis versus primary percutaneous transluminal coronary angioplasty is discussed below."
"Procesul de selectie al pacientilor pentru tromboliza contra angioplastiei coronariene percutanate transluminale este discutat mai jos." (pg. 1497)

"(see "Contraindications and Complications," under "Thombolysis," below)"
"(vezi "Contraindicatii si complicatii", sub "Tromboliza", mai jos)" (pg. 1497)


"au fost aprobati de catre Administratia Food and Drug (Administration)" (pg. 1497)

"tPA is more effective than streptokinase at restoring full perfusio (i.e., TIMI grade 3 coronary flow) and has a small edge in improving survival as well. "
"t-PA este mai eficient decat SK in restabilirea perfuziei complete -respectiv flux coronarian grad 3 TIMI - si are o limita mica in imbunatatirea supravietuirii..." (pg. 1498)


"sau compromiterii hemodinamice (presiune arteriala sistolica > 100mmHg)." (pg. 1498)
And belive it or not! TA-NAAA! "or hemodynamic compromise (systolic arterial pressure >100 mmHg)." Suntem cu totii bolnavi... compromisi hemodinamic, din lipsa de fonduri, probabil...

"However, in the absence of complications, patients should be encouraged, under supervision, to resume an upright posture by dangling their feet over the side of the bed and sitting in a chair within the first 24 h. "
"Totusi, in absenta complicatiilor pacientii trebuie incurajati, sub supraveghere medicala, sa se rezume la pozitia sezanda cu picioarele atarnand la marginea patului si la statul pe scaun in timpul primelor 24 de ore." (pg. 1499)

"intense investigation by basic and clinical scientists."
"cercetari intensive efectuate de savanti clinicieni fundamentali. " (pg 1499)

" randomized trials in the prethrombolytic era"
"studii randomizate in era pretrombotica" (pg. 1500) ...era asta pretrombotica e un fel de epoca de aur :)))

"Hypovolemia This is an easily corrected condition."
"Hipovolemia Aceasta este o conditie usor corectabila..." (pg. 1501)"


:I "Exista motive sa credem ca rezultatele tratamentului sindromului de soc secundar infarctului miocardic, desi perfectionandu-se progresiv ca urmare a atentiei meticuloase acordate detaliilor tratamentului descris mai sus, vor continua sa fie complet sub asteptari deoarece o mare parte din pacientii cu acest sindrom..." (pg. 1502)

"An occasional patient with inferoposterior left ventricular infarction also has extensive right ventricular myocardial infarction"
"Un eventual pacient cu infarct inferoposterior al ventriculului stang prezinta de asemenea infarct miocardic intins al ventriculului drept..." (pg. 1502)

"Left ventricular dilatation or alteration in the size or shape of the ventricle"
"Dilatarea ventricului drept sau modificarea marimii si formei ventriculului" (pg. 1503) ... desi dupa un accident de masina ar putea ajunge mitrala in drepata, nu ? :P

"Infrequent, sporadic ventricular premature depolarizations occur in almost all patients with infarction and do not require therapy."
"Rareori, depolarizari ventriculare premature se intalnesc aproape la toti pacientii cu infarct si nu necesita tratament." (pg. 1503)

"However, prophylactic use of lidocaine has not been shown to reduce overall mortality from acute myocardial infarction."
"Totusi nu s-a dovedit ca acest mod de administrare reduce complet mortalitatea prin infarct miocardic acut." (pg. 1503)

" the long-term survival is good in patients who survive to hospital discharge after primary ventricular fibrillation"
"...supravietuirea pe termen lung este buna in cazul pacientilor care supravietuiesc externarii dupa fibrilatie ventriculara primara" (pg. 1504)

" then treatment with a beta blocker is indicated."
"...atunci ar trebui considerat tratamentul cu un beta-blocant." (pg. 1504)

"True aneurysms are composed of scar tissue and neither predispose to nor are associated with cardiac rupture."
"Anevrismele adevarate sunt alcatuite din tesut cicatriceal si nu este nici predispus nici asociat cu ruptura cordului." (pg. 1505)