造影中左主干急性閉塞-病例報(bào)道（英文）課件

1、Case ReportShengjing Hospital of China Medical UniversityWenyue PangPatient name: PanXX, Men, 64 years oldWas 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. Physic

2、al examination: BP150/95mmHg，the cardiac boarder enlarged to the left and lower. HR 72 bpm, without cardiac murmur. Clinic DataClinic DataECG：Leads V1-V5 ST segments depressed for 0.05mV；PDE：LV=57.4mm；EF=61%；Clinical diagnosis: 1. ACS 2. Hypertension grade 3.Coronary Angiography Coronary Angiography

3、Coronary AngiographyCoronary AngiographyIn 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.No obvious changes of HRNo obvious changes was obser

4、ved in the leads of electrocardiography (ECG) monitoring.The patient said chest skin itch, without chest pain.ManagementXB3.5 Catheter was emergently sent in, approving the 100% occlusion of LM body part.Regret: no video madeWhich first?IABP /Temporary cardiac pacing, then PCIFirst PCI, then.First Drug, then.Other3.5*18mm CypherPCI治療四:LCX右冠造影Follow up results （14 months）Ophthalmalgia when movementDiagnosis: angina pectorisManagement: angiography