Successful treatment of cardiogenic shock by stenting of the left main coronary artery in acute myocardial infarction
Introduction. Patients with non-ST elevation acute coronary syndromes (NSTE-ACS) are sometimes severely hemodynamicly compromised. Urgent coronary angiography should be performed in these patients in percutaneous coronary intervention (PCI) centers according to the ESC NSTE-ACS guidelines to determi...
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| Format: | Article |
| Language: | English |
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Military Health Department, Ministry of Defance, Serbia
2008-01-01
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| Series: | Vojnosanitetski Pregled |
| Subjects: | |
| Online Access: | http://www.doiserbia.nb.rs/img/doi/0042-8450/2008/0042-84500810769K.pdf |
| _version_ | 1818148789284765696 |
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| author | Knežević Božidarka Nikolić Goran Dragnić Siniša Musić Ljilja Bošković Aneta |
| author_facet | Knežević Božidarka Nikolić Goran Dragnić Siniša Musić Ljilja Bošković Aneta |
| author_sort | Knežević Božidarka |
| collection | DOAJ |
| description | Introduction. Patients with non-ST elevation acute coronary syndromes (NSTE-ACS) are sometimes severely hemodynamicly compromised. Urgent coronary angiography should be performed in these patients in percutaneous coronary intervention (PCI) centers according to the ESC NSTE-ACS guidelines to determine suitabilty for percutaneous or surgical revascularization. Case report. We reported a 62-year-old male with chest pain admitted to the Coronary Care Unit. ST segment depression of 2 mm in leads I, L and V4-6 was revealed at electrocardiogram. After following 6 hours the patient had chest pain and signs of cardiogenic shock despite of the therapy. Chest x-ray showed pulmonary edema. Echocardiographic examination showed dyskinetic medium and apical segments of septum. The patient underwent coronary angiography immediately which revealed 75% stenosis of the left main coronary artery with thrombus. The use of a GPIIb/III inhibitor-tirofiban and stent implantation resulted in TIMI III flow. After that the patient had no chest pain and acute heart failure subsided in the following days Echocardiography done at the fourth day from PCI showed only hypokinesis medium and apical segment of septum. The patient was discharged at day 11 from admission in a stable condition. Conclusion. Stenting of left main coronary artery stenosis in patients with cardiogenic shock and non- ST segment elevation acute coronary syndromes may be a life saving procedure. |
| first_indexed | 2024-12-11T12:56:43Z |
| format | Article |
| id | doaj.art-0f7eb3f769a34d6fa503636be16fdb8e |
| institution | Directory Open Access Journal |
| issn | 0042-8450 |
| language | English |
| last_indexed | 2024-12-11T12:56:43Z |
| publishDate | 2008-01-01 |
| publisher | Military Health Department, Ministry of Defance, Serbia |
| record_format | Article |
| series | Vojnosanitetski Pregled |
| spelling | doaj.art-0f7eb3f769a34d6fa503636be16fdb8e2022-12-22T01:06:33ZengMilitary Health Department, Ministry of Defance, SerbiaVojnosanitetski Pregled0042-84502008-01-01651076977310.2298/VSP0810769KSuccessful treatment of cardiogenic shock by stenting of the left main coronary artery in acute myocardial infarctionKnežević BožidarkaNikolić GoranDragnić SinišaMusić LjiljaBošković AnetaIntroduction. Patients with non-ST elevation acute coronary syndromes (NSTE-ACS) are sometimes severely hemodynamicly compromised. Urgent coronary angiography should be performed in these patients in percutaneous coronary intervention (PCI) centers according to the ESC NSTE-ACS guidelines to determine suitabilty for percutaneous or surgical revascularization. Case report. We reported a 62-year-old male with chest pain admitted to the Coronary Care Unit. ST segment depression of 2 mm in leads I, L and V4-6 was revealed at electrocardiogram. After following 6 hours the patient had chest pain and signs of cardiogenic shock despite of the therapy. Chest x-ray showed pulmonary edema. Echocardiographic examination showed dyskinetic medium and apical segments of septum. The patient underwent coronary angiography immediately which revealed 75% stenosis of the left main coronary artery with thrombus. The use of a GPIIb/III inhibitor-tirofiban and stent implantation resulted in TIMI III flow. After that the patient had no chest pain and acute heart failure subsided in the following days Echocardiography done at the fourth day from PCI showed only hypokinesis medium and apical segment of septum. The patient was discharged at day 11 from admission in a stable condition. Conclusion. Stenting of left main coronary artery stenosis in patients with cardiogenic shock and non- ST segment elevation acute coronary syndromes may be a life saving procedure.http://www.doiserbia.nb.rs/img/doi/0042-8450/2008/0042-84500810769K.pdfmyocardial infarctionelectrocardiographycoronary angiographythrombolytic therapystents |
| spellingShingle | Knežević Božidarka Nikolić Goran Dragnić Siniša Musić Ljilja Bošković Aneta Successful treatment of cardiogenic shock by stenting of the left main coronary artery in acute myocardial infarction Vojnosanitetski Pregled myocardial infarction electrocardiography coronary angiography thrombolytic therapy stents |
| title | Successful treatment of cardiogenic shock by stenting of the left main coronary artery in acute myocardial infarction |
| title_full | Successful treatment of cardiogenic shock by stenting of the left main coronary artery in acute myocardial infarction |
| title_fullStr | Successful treatment of cardiogenic shock by stenting of the left main coronary artery in acute myocardial infarction |
| title_full_unstemmed | Successful treatment of cardiogenic shock by stenting of the left main coronary artery in acute myocardial infarction |
| title_short | Successful treatment of cardiogenic shock by stenting of the left main coronary artery in acute myocardial infarction |
| title_sort | successful treatment of cardiogenic shock by stenting of the left main coronary artery in acute myocardial infarction |
| topic | myocardial infarction electrocardiography coronary angiography thrombolytic therapy stents |
| url | http://www.doiserbia.nb.rs/img/doi/0042-8450/2008/0042-84500810769K.pdf |
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