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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.

DOI:10.2147/IMCRJ.S279824
PMID:33209063
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7669524/
Abstract

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).

摘要

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）。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2a21/7669524/3002a96c9522/IMCRJ-13-623-g0003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2a21/7669524/13a80b7ff101/IMCRJ-13-623-g0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2a21/7669524/c463048acfd8/IMCRJ-13-623-g0002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2a21/7669524/3002a96c9522/IMCRJ-13-623-g0003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2a21/7669524/13a80b7ff101/IMCRJ-13-623-g0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2a21/7669524/c463048acfd8/IMCRJ-13-623-g0002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2a21/7669524/3002a96c9522/IMCRJ-13-623-g0003.jpg

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本文引用的文献

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J Invasive Cardiol. 2019 Jul;31(7):E220-E225.
2
Ostial left main coronary artery chronic total occlusion presenting as chronic stable angina.以慢性稳定型心绞痛为表现的左冠状动脉开口处慢性完全闭塞
Indian Heart J. 2018 Sep-Oct;70(5):745-749. doi: 10.1016/j.ihj.2018.04.012. Epub 2018 May 1.
3
Atypical presentation of critical left main disease in an HIV-infected patient.一名HIV感染患者的严重左主干病变的非典型表现。
Int Med Case Rep J. 2018 Jun 20;11:139-143. doi: 10.2147/IMCRJ.S164642. eCollection 2018.
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Management of Left Main Coronary Artery Disease.左主干冠状动脉疾病的管理
J Am Heart Assoc. 2018 Mar 31;7(7):e008151. doi: 10.1161/JAHA.117.008151.
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HIV and Ischemic Heart Disease.HIV 与缺血性心脏病。
J Am Coll Cardiol. 2017 Jan 3;69(1):73-82. doi: 10.1016/j.jacc.2016.09.979.
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Acute coronary syndromes in patients with HIV.感染人类免疫缺陷病毒患者的急性冠状动脉综合征
Coron Artery Dis. 2017 Mar;28(2):166-172. doi: 10.1097/MCA.0000000000000450.
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HIV and Heart Disease: What Cardiologists Should Know.艾滋病病毒与心脏病：心脏病专家应了解的知识。
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