冠状动脉瘤样扩张ppt课件

ppt课件.
6
CIT 2016
CAG Nov 9th
LAD:
proximal - ectasia middle - pool contrast agent filling
2020/8/16
ppt课件.
CORONARY ECTASIA
7
CIT 2016
CAG Nov 9th
LAD:
proximal - ectasia middle - pool contrast agent filling
treatment strategy was chosen.
[1] Mortensen KH, Thuesen L, Kristenten IB, et al. Spontaneous coronary artery dissection: a Western Denmark Heart Registry Study. Catheter Cardiovasc
CORONARY ECTASIA
ppt课件.
1
PATIENT DEMOGRAPHICS
Gender: female Age: 65 years old Chief complaint: chest pain for 1 day Admitted on Nov 6th, 2015 Past history: hypertention for 3 years (pool control), no smoking or drinking
ppt课件.
2
PRESENT ILLNESS
Chest pain accompanied by back pain and headache Domestic argument make symptoms worse ECG: leads V1-4 ST-T segment changes, Tn 0.07ng/ml, CKMB 18.79U/L Echo: LVD 52mm, LA 35mm, LVEF 68%
ppt课件.
3
CIT 2016
CORONARY ECTASIA
2020/8/16
ppt课件.
4
CIT 2016
DIAGNOSIS
Coronary artery disease Unstable angina
Hypertention Hyperlipidaemia
ppt课件.
CORONARY ECTASIA
IVUS a complete vessel visualization and assessment morphometric informations about the underlying hematoma
ppt课件.
15
CIT 2016
CORONARY ECTASIA
DISCUSSION
ppt课件.
CORONARY ECTASIA
14
CIT 2016
DISCUSSION
CORONARY ECTASIA
spontaneous coronary artery dissection(SCAD) traditional gold standard: CAG nowadays: intracoronary imaging-OCT or IVUS-improves the diagnosis
CORONARY ECTASIA
ppt课件.
13
CIT 2016
FOLLOW UP Dec 13th
No chest pain, good emotional control
Aspirin 0.1 qd, Clopidogrel 75mg qd Rosuvastatin 10mg qn, Ezetimibe 10mg qd Perindopril 4mg qd Trimetazidine 20mg tid
CORONARY ECTASIA
2020/8/16
NS injection
ppt课件.
Intimal dissection
12
CIT 2016
DISCHARGE Nov 13th
Aspirin 0.1 qd, Clopidogrel 75mg qd Rosuvastatin 10mg qn, Ezetimibe 10mg qd Perindopril 4mg qd Trimetazidine 20mg tid
LCX:
no obvious abnormalities
2020/8/16
ppt课件.
CORONARY ECTASIA
8
CIT 2016
CORONARY ECTASIA
2020/8/16
ppt课件.
9
CIT 2016
IVUS Nov 9th
CORONARY ECTASIA
2020/8/16
ppt课件.
in our case, the patient was spontaneous coronary dissection, hemodynamically
stable and chest pain relieved, no ongoing ischemia, therefore, a conservative
the underlying pathogenic mechanism of the coronary hematoma[1-2] intramural hemorrhage disruption of the vasa vasorum
Causes analysis [3] female sex hormone level alterations hemodynamic stress and shearing stress smoking and hypertention
10
CIT 2016
IVUS injected with saline
LAD:
intramural hematomas intimal dissection
intimal calcifications
2020/8/16
ppt课件.
CORONARY ECTASIA
11
CIBiblioteka Baidu 2016
IVUS intramural hematomas
5
CIT 2016
MEDICATION
Aspirin 0.1 qd, Ticargrelor 90mg bid Rosuvastatin 10mg qn, Ezetimibe 10mg qd Perindopril 4mg qd Trimetazidine 20mg tid
CORONARY ECTASIA