造影中左主干急性闭塞-病例报道（英文）

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1、CaseReportShengjingHospitalofChinaMedicalUniversityWenyuePangPatientname:PanXX,Men,64yearsoldWashospitalizedwiththechiefcomplaint“remittentchestpainfor5yearswithattenuationfor1week”.Pasthistory:hypertensionfor7years.Smoke20cigarettesperdayfor30years.Physicalexamination:BP150/95mmHg，thecardiac

2、boarderenlargedtotheleftandlower.HR72bpm,withoutcardiacmurmur.ClinicDataClinicDataECG：LeadsV1-V5STsegmentsdepressedfor0.05mV；PDE：LV=57.4mm；EF=61%；Clinicaldiagnosis:1.ACS2.Hypertensiongrade3.CoronaryAngiographyCoronaryAngiographyCoronaryAngiographyCoronaryAngiographyInthepreparationofrightcoro

3、naryangiography,beforeangiographiccatheterreachedtheorificeoftherightcoronaryartery,thepatientbecame:BPdepression,from135/85mmHgto80/40mmHgin30seconds.NoobviouschangesofHRNoobviouschangeswasobservedintheleadsofelectrocardiography(ECG)monitoring.Thepatientsaidchestskinitch,withoutchestpain.Our

4、considerationPressuremonitoringpathwayleakage?contrastmediahypersensitivity？Vagalreflex?Occlusionofleftmaincoronaryartery？Thepatient’sHRdroppedto35bpm.ChestpainonsetConsideration:acuteleftmajorocclusionManagementXB3.5Catheterwasemergentlysentin,approvingthe100%occlusionofLMbodypart.Regret:nov

5、ideomadeWhichfirst?IABP/Temporarycardiacpacing,thenPCIFirstPCI,then…..FirstDrug,then…..Other3.5*18mmCypherIABP,3.0*13CypherPCI治疗四:LCX右冠造影Followupresults（14months）OphthalmalgiawhenmovementDiagnosis:anginapectorisManagement:angiographyHowtomanage?PCICABGDrugOtherFollowup(24m)CoronaryCT:normalTh

6、anks