ИНЦИДЕНЦА НА КОРОНАРНА АРТЕРИСКА БОЛЕСТ ЗА 2023 ГОДИНА ВО ЈЗУ “КЛИНИКА ЗА КАРДИОЛОГИЈА” – СКОПЈЕ: ВАЖНОСТ НА СЕСТРИНСКА НЕГА НА ПАЦИЕНТИ ВО БОЛНИЧКИ УСЛОВИ
INCIDENCE OF CORONARY ARTERY DISEASE FOR THE YEAR 2023 IN PHI "CLINIC OF CARDIOLOGY" – SKOPJE: IMPORTANCE OF NURSING CARE OF PATIENTS IN HOSPITAL

Summary/Abstract: Diseases of the heart and blood vessels represent a large, heterogeneous group of diseases, and acute coronary syndrome is the first cause of death in the general population in the Republic of North Macedonia, therefore they represent a major health, social and economic problem. Many studies indicate that by changing the way of living in many developed countries morbidity and mortality from cardiovascular diseases have been successfully reduced by 40%. Aim: Тhe main goal of the paper is to show the incidence of coronary artery disease with a special focus on acute myocardial infarction with ST-segment elevation (STEMI) in patients hospitalized in the PHI "University Clinic for Cardiology" in Skopje for the year 2023. Material methods: The data for the patients were taken from PHI "University Clinic for Cardiology" - Skopje, retrograde for the year 2023. Patients are divided according to gender, method of treatment (percutaneous coronary intervention or surgical revascularization of the myocardium-bypass), which blood vessel is stented, possible complications, mortality before and after performed percutaneous coronary intervention. Results: At the "University Clinic for Cardiology" - Skopje, in 2023, a total of 742 patients were hospitalized with a diagnosis of STEMI. 485 were men and 257 were women. Of the total number of patients, 576 patients were treated with percutaneous coronary intervention, and 41 patients ended up with surgical myocardial revascularization. From the total number of hospitalized patients at the clinic before or after the intervention, 71 patients died. Coronary angiography was performed in 106 patients, but they were not stented. The most frequently stented artery was the right coronary artery (RCA). Conclusion: Most of the patients were treated with percutaneous coronary interventions with stenting of the culprit lesion, and a smaller part due to multivessel disease were referred for surgical revascularization of the myocardium. In 72% of the population, the right coronary artery is the dominant artery supplying blood to the heart and our results showed that the most common stented artery is actually the RCA.

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