Læknablaðið - 15.09.1999, Blaðsíða 31

LÆKNABLAÐIÐ 1999; 85
697
Aðalveikleiki þessarar rannsóknar er aftur-
skyggnt snið hennar. Vegna þessa er notkun
lyfja eftir innlögn ekki tilviljunarkennd heldur
háð mati mismunandi lækna á ástandi sjúklings
hverju sinni. Þannig gætu þeir sem veikastir
eru hafa fengið aðra meðferð en þeir sem hafa
minni einkenni. Skráning áhættuþátta gæti
einnig verið nákvæmari hjá minna veikum
sjúklingum þar sem lengri tími gefst til viðtals
og skoðunar. Þá vantar heildarfjölda þeirra sem
deyja af völdum kransæðastíflu á upptöku-
svæði spítalanna og á landinu öllu svo hægt sé
að meta heildardánarhlutafall kransæðastíflu.
Ymsum grundvallarspurningum um áhrif
breyttrar meðferðar kransæðastíflu á horfur
hefur verið svarað með þessari rannsókn.
Margt er þó enn óþekkt. Ahrif áhættuþátta á
horfur sjúklinga með kransæðastíflu hafa ekki
verið rannsökuð á framskyggnan máta en tíðni
áhættuþátta hjá íslenskum hjartasjúklingum og
áhrif þeirra á uppkomu kransæðasjúkdóms
meðal íslendinga er þekkt úr rannsóknum
Hjartaverndar.
Þakkir
Eftirtöldum aðilum er þakkað: Guðmundi
Oddssyni yfirlækni hjartadeildar Sjúkrahúss
Reykjavíkur, Arna Kristinssyni yfirlækni
hjartadeildar Landspítalans, Nikulási Sigfús-
syni, Ugga Agnarssyni og Helga Sigvaldasyni
hjá Hjartavernd, starfsfólki skjalasafna og
tölvudeilda Sjúkrahúss Reykjavíkur og Land-
spítalans og læknariturum lyflækningadeildar
Sjúkrahúss Reykjavíkur. Rannsóknin var styrkt
með framlagi úr Vísindasjóði Borgarspítalans.
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