一名感染HIV患者的左冠状动脉慢性完全闭塞
Chronic Total Occlusion of the Left Main Coronary Artery in an HIV-Infected Patient.
作者信息
Seecheran Rajeev, Kawall Tiffany, Seecheran Valmiki, Persad Sangeeta, Kanhai Joel, Jagdeo Cathy-Lee, Giddings Stanley, Raza Sadi, Seecheran Naveen Anand
机构信息
Department of Medicine, North Central Regional Health Authority, Mt. Hope, Trinidad and Tobago.
Cardiology Unit, Advanced Cardiovascular Institute, Port of Spain, Trinidad and Tobago.
出版信息
Int Med Case Rep J. 2020 Nov 12;13:623-629. doi: 10.2147/IMCRJ.S279824. eCollection 2020.
Coronary artery disease (CAD) is amongst the leading causes of death in human immunodeficiency virus (HIV)-infected persons. Severe left main disease (LMD) occurs in approximately five percent of HIV-infected patients, with chronic total occlusion (CTO) of this vessel being an even rarer phenomenon. We describe a non-adherent HIV-infected patient with a left main coronary artery (LMCA) CTO that presented with heart failure with mildly reduced ejection fraction (HFrEF) and ventricular tachycardia (VT).
冠状动脉疾病（CAD）是人类免疫缺陷病毒（HIV）感染者的主要死因之一。严重左主干疾病（LMD）在约5%的HIV感染患者中出现，而该血管的慢性完全闭塞（CTO）则是一种更为罕见的现象。我们描述了一名不依从治疗的HIV感染患者，其左冠状动脉主干（LMCA）慢性完全闭塞，表现为射血分数轻度降低的心力衰竭（HFrEF）和室性心动过速（VT）。
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