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APPROACH IN PREVENTION OF RECURRENCES OF UNSTABLE ANGINA PECTORIS
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M. Jelkić, Z. Kušljugić, F. Baraković, S. Avdagić and M. Tabaković
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| Internal
Clinic, Department of Cardiology, University Clinical Center
Tuzla, Bosnia and Herzegovina |
Unstable
angina pectoris represents nowadays those clinical syndromes which
according to their gravity fall somewhere between unstable angina
pectoris and myocardial infraction with Q waves. After hospitalisation
and anti-ischaemic and anti-thrombolytic treatment, the patients
with unstable angina pectoris are discharged and sent homes with
recommendation to take different medications. During the period
of six months we studied 45 patients with unstable angina pectoris
who had been before treated at the cardiological ward of the Internal
Clinic in Tuzla. The patients were divided into 3 groups with
the same number of patients (15 each). All 45 not hospitalised
patients, were taking continuously one of the selective beta-blockers
(atenolol, metoprolol) whosedoses ranged from 50-200mg and ASS
100mg (Aspirin Bayer, bospirin, Andol). Apart from that they were
taking: - 1 group: Molsidomin 2x2mg - 2 group: Molsidomin 2mg
in themorning and at noon and Olicard R. 40 or 60mg in evening
During the period of six months there was no cardiac death only
in Group 2, whilst there was one sudden cardiac death in Group
i and two sudden cardiac deaths in Group 3. None of the patients
from Group 2 were hospitalised again while the majority of patients
from the other two groups (1 and 3) were hospitalised one or times
more during the study period. Combined therapy with Olicard R
or Molsidomin proved to bevery efficacious in preventing the recurrences
of unstable angina pectoris.
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