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Second Congress of Cardiology and Angiology of Bosnia & Herzegovina

 

CURRENT APPROACH TO HYPERTENSIVE ENCEPHALOPATHY
B. Prnjavorac, E. Ajanović, M. Članjak, I. Kurbašić, M. Smailbegović and K. Kahvić
General Hospital Tešanj, Tešanj, Bosnia and Herzegovina

Neurological symptoms appeared after circulatory disturbances in our region were treated on neurology departmens.In western countries, neurological complications of cardiovascular diseases were treated through specialized units for cerebrovascular insults or through internal medicine units.Hypertensive encephalopathy is condition with minimal ar transitory neurological symptoms after transitory but remarkable elevation of arterial blood pressure.On Intensive Health Care Unit in Tešanj General Hospital we treated patients presented with hypertensive encephalopathy.Team of doctors involved specialist in internal medicine, neurologist and ophthalmologist.Patients in this study were treated on Intensive Care Unit in period 01.01.2000 to 30.06.2000.Study involved 56 patients.If patients were presented with neurological symptoms,which were disappeared within 6 hours, patients were treated as transitory ischaemic attack, and were considered as a grade above hypertensive encephalopathy.If neurological symptoms persisted longer then 6 hours, patients considered having brain stroke.Absence of fixed and clear neurological symptoms associated with elevated blood pressure and with other signs of hypertensive encephalopathy was considered as hypertensive encephalopathy.Study followed possible disturbances of heart rhytm with possible hemodinamic impact on brain circulation and those patients were treated on another way.Eye fundus was classified on 4 grades.We followed course of treatment and results and did not find differences in course of disease compared to refernces.Interdisciplinary approach in hypertensive encephalopathy included specialist in internal medicine, neurologist and ophthalmologist accompanied with proper laboratory diagnostic means benefit for patients.Symptomatic, one-speciality approach treatment was avoided.We propose interdisciplinary treatment for neurological complication on internal deseases.

Drugi kongres kardiologa i angiologa Bosne i Hercegovine
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