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| NOVE PREPORUKE ZA PRIMENU HEPARINA U AKUTNIM KORONARNIM SINDROMIMA: KRITIČKI OSVRT [ NEW RECOMMENDATIONS FOR APPLYING THE HEPARIN IN ACUTE CORONARY SYNDROMES: A CRITICAL VIEW ] Goran KORAĆEVIĆ, Milan PAVLOVIĆ, Slađana ANDREJEVIC, Mirko BURAZOR, Lazar TODOROVIĆ, Zoran STANOJKOVIĆ AMM 2000; 39(3):53-59 ICID: 897392 |
| Article type: Review article |
| IC™ Value: 2.40 |
| Terapija heparinom u akutnom infarktu miokarda i nestabilnoj angini pektoris je svrsihodna, ali i opterećena rizicima. Nove preporuke kompetentnih udruženja su uključile i rezultate poslednjih studija, te se očekuje da ce poboljšati kvalitet svakodnevnog rada u koronarnoj jedinici. Kardiolozi imaju obavezu da poznaju i adekvatno primenjuju kako egzaktne savete, tako i principe na kojima te preporuke počivaju. Uočava se i nekoliko mogućih nedostataka ovih sugestija, čija analiza može pomoći da se saveti ne shvate kao zakoni. Smatramo moralnim da se i u preporuke uvede kao obavezni deo u kome se objašnjavaju sopstveni dometi i nedostaci. Dotle će lekar u rešavanju ovih urgentnih stanja morati da i nove preporuke propusti kroz oštar filter sopstvenog znanja, iskustva i logike. |
English: The heparin therapy in acute myocardial infarct as well as in unstable angina pectoris is useful though risk-taking. New recommendations presented by competent associations also included the results of the recent studies; thus, it is expected that they would improve the quality of daily work in the coronary unit. The cardiologist are obliged to get to know and to apply adequately the given exact advice as well as the principles that the recommendations are based upon. Some possible shortcomings of these suggestions are also perceived; their analysis can help create an attitude implying that the advice is not to be taken as a law. We consider it ethically proper to include, as an indispensable part, an explanation of one's own achievements and shortcomings in the recommendations. This means that the doctors dealing with the respective urgent problems will have to take a critical view of the recommendations on the basis of their own knowledge, experience and logic. |
ICID 897392 |
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