Ružič-Medvešček, Nadja

Novo odkriti šum na srcu by Nadja Ružič-Medvešček( )

2 editions published between 1994 and 2007 in Slovenian and held by 3 WorldCat member libraries worldwide

Standardization of the apex beat in the full left lateral position and its diagnostic value in detecting left ventricular dilatation by Helena-Barbara Zobec Logar( )

1 edition published in 2011 in English and held by 2 WorldCat member libraries worldwide

Predoperativna ocena kronične aortne regurgitacije = Preoperative assessment of chronic aortic regurgitation by Nadja Ružič-Medvešček( )

1 edition published in 1999 in Slovenian and held by 2 WorldCat member libraries worldwide

In the management of patients with chronic aortic regurgitation and when selecting of the most appropriate time for surgical procedures, several facts should be considered. The atricle emphasises a comprehensive evaluation of clinical and echo-Doppler parameters. Aortic regurgitation leads to a progressive decline in left ventricle pump function secondary to chronnic volume overload and excessive afterload, as well as left ventricle contractiledysfunction if the disease is prolonged. Sometimes, subclinical left ventricle conctactile dysfunction may develop when the left ventricle injection fraction remains normal, but it is generally improved after valve replacement. Asymptomatic patients with normal left ventricle ejection fraction have an excellent long-term prognosis with vasodilator therapy for afterload reduction. Valve replacement in symptomatic patients with mild to moderately depressed left ventricle pump function improves survival over medically treated patients with aortic regurgitation. Severe preoperative contractile dysfunction is associated with persistent left ventricle dilatation and dysfunction, often resulting in postoperative congestive heart failure and death

Ehokardiografski parametri funkcije in morfologije levega prekata pri od insulina odvisnih diabetikih(Tip I) brez znakov angiopatije : magistrsko delo by Nadja Ružič-Medvešček( Book )

1 edition published in 1991 in Slovenian and held by 2 WorldCat member libraries worldwide

Indikacije za hospitalizacijo bolnika s kroničnim srčnim popuščanjem = Indications for hospitalization of patient with congesive heart failure by Nadja Ružič-Medvešček( )

1 edition published in 2001 in Slovenian and held by 2 WorldCat member libraries worldwide

Kronično srčno popuščanje (KSP) je glavni vzrok obolevnosti in umrljivosti v razvitih deželah. KSP je sindrom, ki poteka maligno. Povprečna letna umrljivost bolnikov s tem sindromom je 10%. Kakovost življenja je bolj okrnjena kot pri kateri koli drugi bolezni. KSP je najpogostejši vzrok hospitalizacije pri bolnikih, starejših od 65 let V zadnjih desetletjih se je število hospitalizacij zaradi KSP trikrat povečalo. Hospitalizacije zaradi KSPso pogoste, dolge in se ponavljajo. Vzroki za hospitalizacijo bolnikov s KSP so diagnostični postopki v zvezi z osnovno boleznijo, uvajanje zdravil priogroženih bolnikih in neobvladljivo srčno popuščanje. Osnovno bolezen pogosto potrdimo, natančno opredelimo, včasih pa šele odkrijemo z ehokardiografijo, ki je izvedljiva ambulantno. Zelo pomembno je, da lahko s toenostavno preiskavo opredelimo delež sistolične in diastolične disfunkcije srčne mišice pri srčnem popuščanju. Najpogostejša diagnostična preiskava, zaradi katere bolnike hospitaliziramo, je koronarografija. Potrebna je pri bolnikih, kjer sumimo na koronarno bolezen. Večini bolnikov s KSP lahko uvedemo zdravljenje ambulantno, le ogroženim bolnikom, predvsem tistim z okrnjeno sistolično funkcijo, uvajamo zaviralce ACE in blokatorje beta v bolnišnici. Začetni odmerki teh zdravil morajo biti majhni, ciljni odmerki, kijih moramo doseči, pa so veliki. Neobvladljivo srčno popuščanje je najpogostejši vzrok hospitalizacije. Vedno moramo odkriti in zdraviti oz. odpraviti sprožilne dejavnike, med katerimi so najpogostejši čezmerno uživanjesoli in vode, ishemija miokarda, neurejena arterijska hipertenzija in aritmije. V bolnišnici zdravimo hudo prizadete bolnike s sekvenčno diuretično terapijo, večamo odmerke zaviralcev ACE, zdravimo aritmije, po potrebi posežemo po inotropnih in vazodilatacijskih zdravilih. V skrajnem primeru, če so pogoji, se odločimo za transplantacijo srca

Praktični napotki za zdravljenje bolnikov s srčnim popuščanjem zaradi okrnjenega sistoličnega delovanja = Practical guidelines for the therapy of patients with chronic heart failure due to systolic disfunction by Nadja Ružič-Medvešček( )

1 edition published in 2002 in Slovenian and held by 2 WorldCat member libraries worldwide

The modern treatment of chronic heart failure is directed towards both high morbidity and mortality of this syndrom. Only therapy with proper dosages of ACE inhibitors, beta adrenergic blockers and spironolacton reduce morbidity aswell as mortality of this condition. Practical guidelines for the therapy with these drugs are recommended

Predoperativna ocena kronične mitralne regurgitacije = Preoperative assessment of cronic mitral regurgitation by Nadja Ružič-Medvešček( )

1 edition published in 1999 in Slovenian and held by 2 WorldCat member libraries worldwide

In the management of patients with chronic mitral regurgitation and selection of the most appropriate time for surgical interention in these patients, several facts discussed in the article should be considered. Evaluation on thebasis of clinical and echo-Doppler parameters is emphasised. Mitral regurgitation leads to an eccentric hypertrophy and progressive decline in left ventricle pump function secondary to contractile dysfunction. Patients with a normal left ventricle pump function and a reversible contractile dysfunction have a favourable long-term postoperative death becouse of the persistent left ventricle dysfunction, but the survival rate is improved with surgical therapy in comparison with medical therapy. Mitral valve reconstruction preserves the left ventricle function and reduces mortality andcomorbid complications in comparison with conventional mitral valve replacement. Mitral valve reconstruction shoul be the procedure of choice in patients with reduced preoperative left ventricle function

Povečano srce by Nadja Ružič-Medvešček( )

1 edition published in 1994 in Slovenian and held by 2 WorldCat member libraries worldwide

Neishemična kronična mitralna regurgitacija by Nadja Ružič-Medvešček( )

2 editions published in 2002 in Slovenian and held by 2 WorldCat member libraries worldwide

Kvantifikacija stopnje valvularnih in koronarnih stenoz : zaključno poročilo o rezultatih opravljenega znanstveno-raziskovalnega dela napodročju temeljnega raziskovanja by Peter Rakovec( Book )

1 edition published in 1997 in Slovenian and held by 2 WorldCat member libraries worldwide