Multivessel primary PCI in patient with peripheral arterial disease
Journal Title: Nepalese Heart Journal - Year 2017, Vol 14, Issue 1
Abstract
Thrombosis of multiple coronary arteries is extremely rare fnding in the setting of acute myocardial infarction. This often leads to cardiogenic shock and sudden cardiac death. We report a case of 61 years old gentleman who presented with complaints of sudden onset of chest pain of 4hours duration and dizziness with near syncope 2 hours prior to presentation and ST segment elevation in anterior and inferior leads with complete heart block. Coronary angiogram revealed total occlusion of left anterior descending (LAD) and right coronary arteries (RCA). After the PCI to RCA follwed by LAD, patient went into Pulse less electrical activity. Cardiopulmonary resuscitation, immediate percutaneous coronary intervention of the LAD and RCA, temporary pacing, immediate intubation and mechanical ventilation was carried out. The patient was eventually discharged with a New York Heart Association functional class II heart failure.
Authors and Affiliations
Bishal KC| Department of Cardiology, National Academy of Medical Sciences, Bir Hospital, Kathmandu, Chandra Mani Adhikari| Department of Cardiology, Shahid Gangalal National Heart Centre, Bansbari, Kathmandu, Binay Kumar Rauniyar| Department of Cardiology, Shahid Gangalal National Heart Centre, Bansbari, Kathmandu, Deepak Limbu| Department of Cardiology, Shahid Gangalal National Heart Centre, Bansbari, Kathmandu, Rabi Malla| Department of Cardiology, Shahid Gangalal National Heart Centre, Bansbari, Kathmandu
Keywords
Related Articles
- EP ID EP15782
- DOI http://dx.doi.org/10.3126/njh.v14i1.17195
- Views 390
- Downloads 20
Prosthetic valve thrombosis in a tertiary cardiac centre
Background and Aims: Prosthetic valve thrombosis remains a major complication of valve replacement surgeries in Nepal. A number of patients present with thrombotic complications mainly due to poor anticoagulation status...
Anesthetic Management of Traumatic Rupture of Aorta and Diaphragm at Shahid Gangalal National Heart Centre
Traumatic transaction thoracic aorta and rupture diaphragm carries high mortality rate. It needs specialized centre which is able to handle such case and prompt intervention. Even with maximum effort, only 5 to 7% of th...
Prevalence of Hypertension in Semi-Urban area of Nepal
Hypertension is one of the major cardiovascular problems in middle and low income countries. There are few studies conducted in Nepal which shows signifcant number of hypertensive population in suburban area. Systematic...
Prevalence of Atrial Fibrillation in patients attending emergency department of Shahid Gangalal National Heart Centre, Kathmandu, Nepal
Background and Aims: Atrial fbrillation (AF) is the most common sustained arrhythmia. This study aims to evaluate its prevalence in patients attending emergency department of tertiary care cardiac centre. Methods: It w...
Diagnostic Cardiac Catheterization for Congenital Heart Disease in Nepal
Accurate preoperative anatomic and functional diagnosis is of vital importance for surgical repair of congenital heart disease. The diagnostic accuracy of echocardiography alone in congenital heart disease is satisfact...