Stepping into the Light : Defining Culprit Lesion in Non-ST Elevation Myocardial Infarction

© 2024 Saudi Heart Association.

Bibliographische Detailangaben
Veröffentlicht in:Journal of the Saudi Heart Association. - 1999. - 36(2024), 2 vom: 12., Seite 94-98
1. Verfasser: Pradana, Aditya D (VerfasserIn)
Weitere Verfasser: Damarkusuma, Arditya, Hariawan, Hariadi
Format: Online-Aufsatz
Sprache:English
Veröffentlicht: 2024
Zugriff auf das übergeordnete Werk:Journal of the Saudi Heart Association
Schlagworte:Case Reports Journal Article Acute coronary syndrome Culprit Eptifibatide Infark-related artery NSTEMI Revascularization
Beschreibung
Zusammenfassung:© 2024 Saudi Heart Association.
Identifying the infarct-related artery (IRA) in a non-ST-segment-elevation acute myocardial infarction (NSTEMI) can be very challenging, particularly in a hospital that cannot perform intracoronary imaging due to certain limitations. This is because, by angiography, most patients present with multivessel coronary artery disease (CAD), diffuse disease, or non-significant CAD. We present a case of a 60-year-old female patient presented with substernal chest pain and palpitations of 6 h duration. The first hospital contact 12-lead electrocardiogram (ECG) showed ventricular tachycardia (VT) with unstable hemodynamics, after stabilization patient was transported to the catheterization laboratory for immediate percutaneous coronary intervention (PCI). With a clue of VT morphology, post-converted ECG, and coronary angiography, the patient successfully underwent PCI in the left circumflex artery
Beschreibung:Date Revised 27.06.2024
published: Electronic-eCollection
Citation Status PubMed-not-MEDLINE
ISSN:1016-7315
DOI:10.37616/2212-5043.1377