The implementation guidelines for prevention of the coronary heart disease are measures which are available to the individuals as well as to the entire population. These measures aim to detect the diseases and to conduct faster and more successful medical intervention. More so, these measures are directed against the progression or relapse of disease in patients with an established disease. The secondary prevention of coronary diseases would include the measures which objective is the prevention of relapse and the progression of atherosclerosis in patients who already have an established coronary disease. The modification of the risk factors is the key part of the secondary prevention of coronary disease. The main risk factors remain the important predictors of the long-term prognosis in patients with a coronary disease. The study on conduction of measures for secondary prevention of coronary disease showed high prevalence of bad lifestyle characteristics, other risk factors and insufficient use of prophylactic drugs in coronary disease patients. Inadequate treatment of risk factors in coronary patients is similar in Europe as well as in the other parts of the world.

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Sažetak. Kardijalnu sinkopu karakteriše nagli gubitak svijesti, najčešće bez prethodećih znakova i simptoma, a najčešći uzrok su poremećaji srčanog provođenja i ritma. Cilj rada bio je da se utvrdi da li postojeća arterijska hipertenzija doprinosi većoj učestalosti kardijalne sinkope. Ispitana su 42 pacijenata sa kardijalnom sinkopom. Svim pacijentima je urađena anamneza, fizikalni pregled, standardni EKG, te Holter monitoring EKG na osnovu čega su, kao uzroci kardijalne sinkope utvrđeni poremećaji srčanog provođenja i ritma. Svi pacijenti su imali uredan neurološki nalaz. Ispitivanjem je obuhvaćeno 19 žena, prosječne starosti 52,4 godine, i 23 muškarca, prosječne starosti 59,3 godine. Prema tome da li su imali normalnu ili povišenu arterijsku tenziju, pacijenti su raspoređeni u dvije grupe. Arterijsku hipertenziju i kardijalne sinkope imalo je 29 (69,04%) pacijenata (grupa A), dok je 13 (30,95%) imalo kardijalnu sinkopu i normalnu arterijsku tenziju (grupa B). Sa tahibradikardnim sindromom u a u grupi B 2 (15,38%). Kod pacijenata sa arterijskom hipertenzijom kardijalna sinkopa češće se javljala, a i svi pojedinačno analizirani poremećaji provođenja i ritma. Ključne riječi: Kardijalna sinkopa, Arterijska hipertenzija, Poremećaji srčanog ritmaSummary. Cardiac syncope is characterized with a sudden loss of consciousness, most often without prior signs and symptoms, and the most frequent causes are disorders of cardiac conduction and rhythm. The aim of the work was to establish whether the existing arterial hypertension contributes to higher incidence of cardiac syncope. Forty two patients with cardiac syncope were examined. All of the patients had their anamnesis, physical examination, standard ECG and holter ECG monitoring done, on the basis of which the disorders of cardial conduction and rhythm were established as the causes of the cardiac syncope. All patients had regular neurological findings. The examination included 19 women of average age of 52.4 and 23 men of average age of 59.3. According to the findingsnormal or increased arterial tension respectively, the patients were divided in two groups. The arterial hypertension and cardiac syncope were found in 29 (69.04%) patients (group A), while 13 (30.95%) patients had cardiac syncope and normal arterial tension (group B). In the group A, there were 5 (17.24%) patients with tachy-brady syndrome and, in the group B, there were 2 (15.38%); in the group A, there were 4 (13.79%) patients with AV nodal reentrant tachycardia and, in the group B, there were2 (15.38%); in the group A, there were 3 (10.34%) patients with bradycardia (heart frequency under 40 per minute), and in the group B, there was 1 (7.69%) patient; in the group A, there were 5 (17.24%) patients with VTs and, in the group B, there were3 (23.07%); in the group A, there were 6 (20.69%) patients with sinus pauses and, in the group B, there were 2 (15.38%); in the group A, there were 6 (20.69%) patients with A-V block of II/III degree and, in the group B, there were2 (15.38%). In patients with arterial ...