造影中左主干急性闭塞-病例报道(英文).ppt

,单击此处编辑母版标题样式,单击此处编辑母版文本样式,第二级,第三级,第四级,第五级,*,Case Report,Shengjing Hospital of China Medical University,Wenyue Pang,Patient name,:PanXX,Men,64 years old,Was hospitalized with the chief complaint“remittent chest pain for 5 years with attenuation for 1 week”.,Past history:hypertension for 7 years.Smoke 20 cigarettes per day for 30 years.,Physical examination:BP150/95mmHg，the cardiac boarder enlarged to the left and lower.HR 72 bpm,without cardiac murmur.,Clinic Data,Clinic Data,ECG：Leads V1-V5 ST segments depressed for,0.05mV,；,PDE,：LV=57.4mm；EF=61%；,Clinical diagnosis:,1.ACS,2.Hypertension grade 3.,Coronary Angiography,Coronary Angiography,Coronary Angiography,Coronary Angiography,In the preparation of right coronary angiography,before angiographic catheter reached the orifice of the right coronary artery,the patient became:BP depression,from 135/85 mmHg to 80/40 mmHg in 30 seconds.,No obvious changes of HR,No obvious changes was observed in the leads of electrocardiography(ECG)monitoring.,The patient said chest skin itch,without chest pain.,Management,XB3.5 Catheter was emergently sent in,approving the 100%occlusion of LM body part.,Regret:no video made,Which first?,IABP/Temporary cardiac pacing,then PCI,First PCI,then.,First Drug,then.,Other,3.5*18mm Cypher,IABP,3.0*13 Cypher,PCI治疗四:LCX,右冠造影,Follow up results（14 months）,Ophthalmalgia when movement,Diagnosis:angina pectoris,Management:angiography,How to manage?,PCI,CABG,Drug,Other,Follow up(24 m),Coronary CT:normal,Thanks,