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成功治疗一名患有非ST段抬高型心肌梗死和多器官功能衰竭的老年体弱患者:克服重重困难。

SUCCESSFUL TREATMENT OF AN ELDERLY, FRAIL PATIENT WITH NON-ST ELEVATION MYOCARDIAL INFARCTION AND MULTI-ORGAN FAILURE: AGAINST THE ODDS.

作者信息

Pavlov Marin, Babić Zdravko, Trbušić Matias, Radeljić Vjekoslav, Delić Brkljačić Diana

机构信息

Department of Cardiology, Dubrava University Hospital, Zagreb.

Department of Cardiology, Sisters of Charity University Hospital Centre, Zagreb.

出版信息

Acta Clin Croat. 2024 Mar;63(Suppl1):18-22. doi: 10.20471/acc.2024.63.s1.3.

DOI:10.20471/acc.2024.63.s1.3
PMID:40599470
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12207844/
Abstract

Contemporary cardiology offers potent treatment options for acute coronary syndrome. Occasionally, the most challenging part of the patient care occurs after percutaneous coronary intervention (PCI). Complications such as acute renal failure requiring renal replacement therapy, need for mechanical ventilation, infections, septic syndrome requiring vasopressor therapy, and stroke may influence short- and long-term outcome of such patients. In this paper, we present a case of an elderly lady treated with left main PCI due to acute non-ST elevation myocardial infarction. The case was complicated with all above listed events, however, the outcome was favourable.

摘要

当代心脏病学为急性冠状动脉综合征提供了有效的治疗选择。偶尔,患者护理中最具挑战性的部分发生在经皮冠状动脉介入治疗(PCI)之后。诸如需要肾脏替代治疗的急性肾衰竭、机械通气需求、感染、需要血管升压药治疗的脓毒症综合征以及中风等并发症可能会影响此类患者的短期和长期预后。在本文中,我们介绍了一例因急性非ST段抬高型心肌梗死接受左主干PCI治疗的老年女性病例。该病例并发了上述所有事件,然而,结局是良好的。

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本文引用的文献

1
Percutaneous coronary intervention to treat unprotected left main: Unmet needs.经皮冠状动脉介入治疗无保护左主干病变:未满足的需求。
Kardiol Pol. 2022;80(6):719-720. doi: 10.33963/KP.a2022.0134. Epub 2022 May 25.
2
Impact of renal function on patients with acute coronary syndromes: 15,593 patient-years study.肾功能对急性冠状动脉综合征患者的影响:15593 患者年研究。
Ren Fail. 2020 Nov;42(1):881-889. doi: 10.1080/0886022X.2020.1810069.
3
Invasive versus non-invasive management of older patients with non-ST elevation myocardial infarction (SENIOR-NSTEMI): a cohort study based on routine clinical data.
老年非 ST 段抬高型心肌梗死(SENIOR-NSTEMI)患者的侵入性与非侵入性治疗:基于常规临床数据的队列研究。
Lancet. 2020 Aug 29;396(10251):623-634. doi: 10.1016/S0140-6736(20)30930-2.
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Comparison of long-term mortality in patients with acute myocardial infarction associated with or without sepsis.比较伴有或不伴有脓毒症的急性心肌梗死患者的长期死亡率。
Int J Infect Dis. 2019 Feb;79:169-178. doi: 10.1016/j.ijid.2018.11.021. Epub 2018 Nov 29.
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Incidence and Outcomes of Myocardial Infarction in Patients Admitted With Acute Ischemic Stroke.急性缺血性卒中患者入院时心肌梗死的发生率及转归
Stroke. 2017 Nov;48(11):2931-2938. doi: 10.1161/STROKEAHA.117.018408. Epub 2017 Oct 10.
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Intensity of Vasopressor Therapy for Septic Shock and the Risk of In-Hospital Death.感染性休克血管活性药物治疗强度与院内死亡风险
J Pain Symptom Manage. 2017 May;53(5):938-943. doi: 10.1016/j.jpainsymman.2016.12.333. Epub 2017 Jan 3.
7
Mechanical Ventilation and Clinical Outcomes in Patients with Acute Myocardial Infarction: A Retrospective Observational Study.急性心肌梗死患者的机械通气与临床结局:一项回顾性观察研究
PLoS One. 2016 Mar 15;11(3):e0151302. doi: 10.1371/journal.pone.0151302. eCollection 2016.