Stepping into the Light : Defining Culprit Lesion in Non-ST Elevation Myocardial Infarction
© 2024 Saudi Heart Association.
Veröffentlicht in: | Journal of the Saudi Heart Association. - 1999. - 36(2024), 2 vom: 12., Seite 94-98 |
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1. Verfasser: | |
Weitere Verfasser: | , |
Format: | Online-Aufsatz |
Sprache: | English |
Veröffentlicht: |
2024
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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 |
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 |
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Beschreibung: | Date Revised 27.06.2024 published: Electronic-eCollection Citation Status PubMed-not-MEDLINE |
ISSN: | 1016-7315 |
DOI: | 10.37616/2212-5043.1377 |