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Successful percutaneous coronary intervention in a centenarian patient with acute myocardial infarction.

Lee KH, Jeong MH, Chung CY, Kim D, Lee MG, Park KH, Sim DS, Yoon NS, Yoon HJ, Kim KH, Hong YJ, Kim JH, Ahn Y, Cho JG, Park JC, Kang JC - Korean Circ J (2012)

Bottom Line: Despite an increasing prevalence and burden of disease in the elderly, little is known about the management and outcomes of acute coronary syndromes in this group.The LAD lesion was treated with medical therapy only, on account of the age and general condition of the patient.She was discharged after recovering to a good health status, free of chest pain or dyspnea.

View Article: PubMed Central - PubMed

Affiliation: The Heart Research Center of Chonnam National University Hospital, Cardiovascular Research Institute of Chonnam National University, Gwangju, Korea.

ABSTRACT
Despite an increasing prevalence and burden of disease in the elderly, little is known about the management and outcomes of acute coronary syndromes in this group. We report the case of a 101-year-old female patient with a non-ST segment elevation myocardial infarction. Coronary angiography showed a total occlusion of the proximal right coronary artery (RCA), and a significant stenosis in the proximal to mid left anterior descending artery (LAD). Despite a very poor initial clinical status, a percutaneous coronary intervention was successfully performed for the total occlusion in the RCA. The LAD lesion was treated with medical therapy only, on account of the age and general condition of the patient. She was discharged after recovering to a good health status, free of chest pain or dyspnea.

No MeSH data available.


Related in: MedlinePlus

The electrocardiography shows a sinus tachycardia and ST-segment depression in leads V 4-6.
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Figure 1: The electrocardiography shows a sinus tachycardia and ST-segment depression in leads V 4-6.

Mentions: A 101-year-old female, with a history of hypertension and an old cerebellar infarction, was admitted to the Chonnam National University Hospital emergency room with complaints of sudden onset resting dyspnea. She had no history of dyslipidemia, diabetes mellitus or cardiac problems. On arrival, the patient's heart rate was a 150 bpm and her blood pressure was 70/40 mm Hg. The electrocardiography (ECG) showed a sinus tachycardia and ST-segment depression in leads V 4-6 (Fig. 1). Initial serum levels of creatine kinase-MB and Troponin I were 98.3 U/L and 8.9 ug/L, respectively. Serum levels of D-dimer and FDP were slightly elevated at 0.25 mg/L and 5.6 ug/mL. A chest X-ray revealed cardiomegaly and bilateral pulmonary edema. We considered NSTEMI or an acute pulmonary embolism (PE), based on clinical impression. To rule out PE, a chest CT angiogram was performed which showed no evidence of PE. With the aid of artificial ventilation and medical therapy for the pulmonary edema, stabilization of the vital signs was achieved. However, Troponin I levels subsequently increased to 53.1 ug/L. On the basis of a NSTEMI diagnosis, the patient was immediately sent to the catheterization laboratory.


Successful percutaneous coronary intervention in a centenarian patient with acute myocardial infarction.

Lee KH, Jeong MH, Chung CY, Kim D, Lee MG, Park KH, Sim DS, Yoon NS, Yoon HJ, Kim KH, Hong YJ, Kim JH, Ahn Y, Cho JG, Park JC, Kang JC - Korean Circ J (2012)

The electrocardiography shows a sinus tachycardia and ST-segment depression in leads V 4-6.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC3369970&req=5

Figure 1: The electrocardiography shows a sinus tachycardia and ST-segment depression in leads V 4-6.
Mentions: A 101-year-old female, with a history of hypertension and an old cerebellar infarction, was admitted to the Chonnam National University Hospital emergency room with complaints of sudden onset resting dyspnea. She had no history of dyslipidemia, diabetes mellitus or cardiac problems. On arrival, the patient's heart rate was a 150 bpm and her blood pressure was 70/40 mm Hg. The electrocardiography (ECG) showed a sinus tachycardia and ST-segment depression in leads V 4-6 (Fig. 1). Initial serum levels of creatine kinase-MB and Troponin I were 98.3 U/L and 8.9 ug/L, respectively. Serum levels of D-dimer and FDP were slightly elevated at 0.25 mg/L and 5.6 ug/mL. A chest X-ray revealed cardiomegaly and bilateral pulmonary edema. We considered NSTEMI or an acute pulmonary embolism (PE), based on clinical impression. To rule out PE, a chest CT angiogram was performed which showed no evidence of PE. With the aid of artificial ventilation and medical therapy for the pulmonary edema, stabilization of the vital signs was achieved. However, Troponin I levels subsequently increased to 53.1 ug/L. On the basis of a NSTEMI diagnosis, the patient was immediately sent to the catheterization laboratory.

Bottom Line: Despite an increasing prevalence and burden of disease in the elderly, little is known about the management and outcomes of acute coronary syndromes in this group.The LAD lesion was treated with medical therapy only, on account of the age and general condition of the patient.She was discharged after recovering to a good health status, free of chest pain or dyspnea.

View Article: PubMed Central - PubMed

Affiliation: The Heart Research Center of Chonnam National University Hospital, Cardiovascular Research Institute of Chonnam National University, Gwangju, Korea.

ABSTRACT
Despite an increasing prevalence and burden of disease in the elderly, little is known about the management and outcomes of acute coronary syndromes in this group. We report the case of a 101-year-old female patient with a non-ST segment elevation myocardial infarction. Coronary angiography showed a total occlusion of the proximal right coronary artery (RCA), and a significant stenosis in the proximal to mid left anterior descending artery (LAD). Despite a very poor initial clinical status, a percutaneous coronary intervention was successfully performed for the total occlusion in the RCA. The LAD lesion was treated with medical therapy only, on account of the age and general condition of the patient. She was discharged after recovering to a good health status, free of chest pain or dyspnea.

No MeSH data available.


Related in: MedlinePlus