Acute heart failure
We describe the clinical case of a 26 year-old woman who came to Hospital Universitario San Vicente Fundación (Medellín, Colombia) with symptoms and signs of acute heart failure. She had been previously diagnosed with chronic heart failure with reduced ejection fraction without clear origin, pulmona...
| Main Authors: | , |
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| Format: | Article |
| Language: | Spanish |
| Published: |
Universidad de Antioquia
2015-01-01
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| Series: | Iatreia |
| Subjects: | |
| Online Access: | http://aprendeenlinea.udea.edu.co/revistas/index.php/iatreia/article/view/20846 |
| _version_ | 1811295665699946496 |
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| author | Sénior Sánchez, Juan Manuel Gándara Ricardo, Jairo Alfonso |
| author_facet | Sénior Sánchez, Juan Manuel Gándara Ricardo, Jairo Alfonso |
| author_sort | Sénior Sánchez, Juan Manuel |
| collection | DOAJ |
| description | We describe the clinical case of a 26 year-old woman who came to Hospital Universitario San Vicente Fundación (Medellín, Colombia) with symptoms and signs of acute heart failure. She had been previously diagnosed with chronic heart failure with reduced ejection fraction without clear origin, pulmonary thromboembolism and ischemic stroke, without optimal neurohormonal modulation. She was admitted with clinical findings of fluid overload and low tissue perfusion, with inotropic support requirement and parenteral diuretics; clinical stability was achieved with the progressive introduction of medical therapy for heart failure. For the study of the latter, heart MRI was done that showed a delayed enhancement area in the left anterior descending artery. Coronary angiography was carried out in which no significant lesions were found in the epicardial arteries. Finally, compensation of the acute heart failure was achieved, and chronic anticoagulation was started for probable thrombophilic disease, due to the recurring arterial and venous thrombotic events. |
| first_indexed | 2024-04-13T05:36:44Z |
| format | Article |
| id | doaj.art-8162a7c4180c47bea11a07c33dd960a3 |
| institution | Directory Open Access Journal |
| issn | 0121-0793 2011-7965 |
| language | Spanish |
| last_indexed | 2024-04-13T05:36:44Z |
| publishDate | 2015-01-01 |
| publisher | Universidad de Antioquia |
| record_format | Article |
| series | Iatreia |
| spelling | doaj.art-8162a7c4180c47bea11a07c33dd960a32022-12-22T03:00:15ZspaUniversidad de AntioquiaIatreia0121-07932011-79652015-01-012817886Acute heart failureSénior Sánchez, Juan Manuel0Gándara Ricardo, Jairo Alfonso1Facultad de Medicina, Universidad de Antioquia; Hospital Universitario San Vicente Fundación, Medellín, ColombiaUniversidad de Antioquia, Medellín, ColombiaWe describe the clinical case of a 26 year-old woman who came to Hospital Universitario San Vicente Fundación (Medellín, Colombia) with symptoms and signs of acute heart failure. She had been previously diagnosed with chronic heart failure with reduced ejection fraction without clear origin, pulmonary thromboembolism and ischemic stroke, without optimal neurohormonal modulation. She was admitted with clinical findings of fluid overload and low tissue perfusion, with inotropic support requirement and parenteral diuretics; clinical stability was achieved with the progressive introduction of medical therapy for heart failure. For the study of the latter, heart MRI was done that showed a delayed enhancement area in the left anterior descending artery. Coronary angiography was carried out in which no significant lesions were found in the epicardial arteries. Finally, compensation of the acute heart failure was achieved, and chronic anticoagulation was started for probable thrombophilic disease, due to the recurring arterial and venous thrombotic events.http://aprendeenlinea.udea.edu.co/revistas/index.php/iatreia/article/view/20846Congestive Heart FailureInfarctionIschemic Cardiopathy |
| spellingShingle | Sénior Sánchez, Juan Manuel Gándara Ricardo, Jairo Alfonso Acute heart failure Iatreia Congestive Heart Failure Infarction Ischemic Cardiopathy |
| title | Acute heart failure |
| title_full | Acute heart failure |
| title_fullStr | Acute heart failure |
| title_full_unstemmed | Acute heart failure |
| title_short | Acute heart failure |
| title_sort | acute heart failure |
| topic | Congestive Heart Failure Infarction Ischemic Cardiopathy |
| url | http://aprendeenlinea.udea.edu.co/revistas/index.php/iatreia/article/view/20846 |
| work_keys_str_mv | AT seniorsanchezjuanmanuel acuteheartfailure AT gandararicardojairoalfonso acuteheartfailure |