造影中左主干急性闭塞_病例报道(英文)
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No obvious changes of HR No obvious changes was observed in the leads of
electrocardiography (ECG) monitoring. The patient said chest skin itch, without chest pain.
Follow up(24 m)
Coronary CT : normal
Thanks
Our consideration
Pressure monitoring pathway leakage? contrast media hypersensitivity？ Vagal reflex? Occlusion of left main coronary artery？
The patient’s HR dropped to 35 bpm. Chest pain onset
Which first?
IABP /Temporary cardiac pacing, then PCI First PCI, then….. First Drug, then….. Other
3.5*18mm Cypher
IABP, 3.0*13 Cypher
PCI治疗四:LCX
Coronary Angiography
Coronary Angiography
Coronary Angiography
In the preparation of right coronary angiography, before angiographic catheter reached the orifice of the right coronary artery, the patient became:BP depression, from 135/85 mmHg to 80/40 mmHg in 30 seconds.
Consideration: acute left major occlusion
ቤተ መጻሕፍቲ ባይዱ
Management
XB3.5 Catheter was emergently sent in, approving the 100% occlusion of LM body part.
Regret: no video made
造影中左主干急性闭塞_病例报道（英文）
Clinic Data
Patient name: PanXX, Men, 64 years old Was hospitalized with the chief complaint
“remittent chest pain for 5 years with attenuation for 1 week”. Past history: hypertension for 7 years. Smoke 20 cigarettes per day for 30 years. Physical examination: BP150/95mmHg，the cardiac boarder enlarged to the left and lower. HR 72 bpm, without cardiac murmur.
右冠造影
Follow up results （14 months）
Ophthalmalgia when movement Diagnosis: angina pectoris Management: angiography
How to manage?
PCI CABG Drug Other
electrocardiography (ECG) monitoring. The patient said chest skin itch, without chest pain.
Follow up(24 m)
Coronary CT : normal
Thanks
Our consideration
Pressure monitoring pathway leakage? contrast media hypersensitivity？ Vagal reflex? Occlusion of left main coronary artery？
The patient’s HR dropped to 35 bpm. Chest pain onset
Which first?
IABP /Temporary cardiac pacing, then PCI First PCI, then….. First Drug, then….. Other
3.5*18mm Cypher
IABP, 3.0*13 Cypher
PCI治疗四:LCX
Coronary Angiography
Coronary Angiography
Coronary Angiography
In the preparation of right coronary angiography, before angiographic catheter reached the orifice of the right coronary artery, the patient became:BP depression, from 135/85 mmHg to 80/40 mmHg in 30 seconds.
Consideration: acute left major occlusion
ቤተ መጻሕፍቲ ባይዱ
Management
XB3.5 Catheter was emergently sent in, approving the 100% occlusion of LM body part.
Regret: no video made
造影中左主干急性闭塞_病例报道（英文）
Clinic Data
Patient name: PanXX, Men, 64 years old Was hospitalized with the chief complaint
“remittent chest pain for 5 years with attenuation for 1 week”. Past history: hypertension for 7 years. Smoke 20 cigarettes per day for 30 years. Physical examination: BP150/95mmHg，the cardiac boarder enlarged to the left and lower. HR 72 bpm, without cardiac murmur.
右冠造影
Follow up results （14 months）
Ophthalmalgia when movement Diagnosis: angina pectoris Management: angiography
How to manage?
PCI CABG Drug Other