Sandbx:rinky: Difference between revisions
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* [[The electrocardiogram|EKG]]: Inferior leads shows Inverted T waves. | * [[The electrocardiogram|EKG]]: Inferior leads shows Inverted T waves. | ||
*[[Troponin I]] | *Elevated [[Troponin I]] from 355 ng/l --->70 ng/l 3 h later (Normal values <7 ng/l)) | ||
* [[Transthoracic echocardiography]] | * [[Transthoracic echocardiography]] | ||
**Left ventricular [[ejection fraction]] :60% | **Left ventricular [[ejection fraction]] :60% | ||
**No abnormalities in wall motion. | **No abnormalities in wall motion. | ||
**Absence of [[Diastole|diastolic]] dysfunction | **Absence of [[Diastole|diastolic]] dysfunction | ||
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* [[Coronary angiography|Coronary angiogram]] : | * [[Coronary angiography|Coronary angiogram]] : | ||
** | **Posterior descending artery is occluded with [[epicardial]] collateral from the left anterior descending artery. | ||
**Intimal tear is present in mid-right coronary artery with a spontaneous dissecting coronary [[hematoma]] | |||
descending artery is occluded with [[epicardial]] collateral from the left anterior descending artery. | |||
** | |||
* Optical coherence tomography ([[Cardiac Optical Coherence Tomography (OCT)|OCT]]): spontaneous dissecting coronary [[hematoma]] with an intimal rupture of right coronary artery | * Optical coherence tomography ([[Cardiac Optical Coherence Tomography (OCT)|OCT]]): spontaneous dissecting coronary [[hematoma]] with an intimal rupture of right coronary artery | ||
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|Severe , persistent chest pain ( 8/10), which started 3 hrs before admission | |Severe , persistent chest pain ( 8/10), which started 3 hrs before admission | ||
|Smoking, [[Hypertension]] | | | ||
* Smoking, | |||
* [[Hypertension]] | |||
* Type 2 diabetes | |||
* History of [[percutaneous coronary intervention]] (PCI) with implantation of a [[Drug eluting stent|drug-eluting stent]] (DES) | |||
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* [[Echocardiography|Echocardiogram]]: | * [[Echocardiography|Echocardiogram]]: | ||
**Left ventricular [[ejection fraction]] 40–45% | **Left ventricular [[ejection fraction]] : 40–45% | ||
** | **[[Akinesia]] in the left circumflex artery territory (old) | ||
* [[Coronary angiography|Coronary angiogram]]: moderate in-stent restenosis present on LCx-OM and | **Severe [[Hypokinesia|hypokinesis]] in the left anterior ascending (LAD) | ||
* [[Coronary angiography|Coronary angiogram]]: moderate in-stent restenosis present on LCx-OM and stenosis in moderate right coronary artery (RCA). | |||
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|48‐year‐old, female | |48‐year‐old, female | ||
* History of severe chest pain that awoke her from sleep | |||
|Severe retrosternal chest pain,9/10,pain radiates to neck and both arms. | |||
|[[Migraine]] | | | ||
* [[Migraine]] | |||
* [[Hyperlipidemia]] | |||
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Revision as of 17:11, 20 July 2020
- Here is a table presenting symptoms of the reported cases:
Patient | Symptoms | Past medical history and risk factors | Laboratory findings | Treatment |
---|---|---|---|---|
55 year old, male admitted due
to
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Developed chest pain 48 hrs after admission | Peripheral artery disease |
|
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70-year-old, male | Severe , persistent chest pain ( 8/10), which started 3 hrs before admission |
|
|
|
48‐year‐old, female
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Severe retrosternal chest pain,9/10,pain radiates to neck and both arms. |
|
|