Browsing by Author "Pandrc, Milena (57190422802)"

Cardiovascular diseases, including ischemic heart disease, are the most common causes of morbidity and death in the world, including Serbia, as a middle-income European country. The aim of the study was to determine the costs of preventive examinations for ischemic heart disease in active-duty military personnel, as well as to assess whether this was justified from the point of view of the limited health resources allocated for the treatment of the Republic of Serbia population. This is a retrospective cost-preventive study which included 738 male active-duty military personnel, aged from 23 to 58. The costs of primary prevention of ischemic heart disease in this population were investigated. Out of 738 subjects examined, arterial hypertension was detected in 101 subjects (in 74 of them, arterial hypertension was registered for the first time, while 27 subjects were already subjected to pharmacotherapy for arterial hypertension). Average costs of all services during the periodic-health-examination screening program were €76.96 per subject. However, average costs of all services during the periodic-health-examination screening program for patients with newfound arterial hypertension and poorly regulated arterial hypertension were €767.54 per patient and €2,103.63 per patient, respectively. Since periodic-health-examination screening program in military personnel enabled not only discovery of patient with newfound arterial hypertension but also regular monitoring of those who are already on antihypertensive therapy, significant savings of €690.58 per patient and €2,026.67 per patient can be achieved, respectively. As financial resources for providing health care in Serbia, as a middle-income country, are limited, further efforts should be put on screening programs for ischemic heart disease due to possible significant savings. © Copyright © 2021 Simic, Ratkovic, Dragojevic Simic, Savkovic, Jakovljevic, Peric, Pandrc and Rancic.

Introduction. Left ventricular noncompaction (LVNC) is a congenital disorder characterised by prominent trabeculations in the left ventricular myocardium. This heart condition very often goes completely undetected, or is mistaken for hyper-trophic cardiomyopathy or coronary disease. Case report. A middle-aged female with a positive family history of coronary disease was admitted with chest pain, electrocardiography (ECG) changes in the area of the inferolateral wall and elevation in cardiac specific enzymes. Initially, she was suspected of having acute coronary syndrome. However, in the left ventricular apex, especially alongside the lateral and inferior walls, cardiac ultrasound visualised hypertrabeculation with multiple trabeculae projecting inside the left ventricular cavity. A short-axis view of the heart above the papillary muscles revealed the presence of two layers of the myocardium: a compacted homogeneous layer adjacent to the epicardium and a spongy layer with trabeculae and sinusoids under the endocardium. The thickness ratio between the two layers was 2.2:1. The same abnormalities were corroborated by multislice computed tomography (MSCT) of the heart. Conclusion. Left ventricular noncompaction is a rare, usually hereditary cardiomyopathy, which should be considered as a possibility in patients with myocardial hypertrophy. It is very often mistaken for coronary disease owing to ECG changes and elevated cardiac specific enzymes associated with myocardial hypertrophy and heart failure. © 2018, Institut za Vojnomedicinske Naucne Informacije/Documentaciju. All rights reserved.

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Background/Aim. The field of lung ultrasonography (US) is a fast-developing one, and it provides the medical community with numerous new diagnostic opportunities. The aim of this study was to examine the etiology of dyspnea on admission and assess the stage of heart failure (HF) according to the US examination of the heart and lungs. Methods. The cross-sectional study included a total of 110 patients treated for the symptoms of dyspnea. The study included all patients treated for any heart or pulmonary condition, as well as patients who reported the first episode of dyspnea without any previous illness. The most important diagnostic sign in the US of the lungs in patients with HF was the appearance of B-lines or “comets” (ultrasound artifacts reminiscent of comet tails), which indicate the accumulation of fluid in the interstitium of the lungs. Results. The mean number of registered “comets” in the total number of patients was 14.2 ± 7.4 (minimum 2, maximum 30). The mean number of “comets” among patients with HF was 18.8 ± 5.9. The mean number of “comets” among patients without HF was 8.0 ± 3.7 (p ≺ 0.001). Multivariate linear regression analyses showed the association between the number of “comets” and HF (p ≺ 0.001). Conclusion. As the assessment of present “comets” in pulmonary US examination is safe and non-invasive, it can easily be integrated into the daily clinical practice because it has been shown that the number of pulmonary “comets” is significantly higher in patients with HF compared to those with dyspnea of other etiologies. © 2023 Inst. Sci. inf., Univ. Defence in Belgrade. All rights reserved.