Simultaneous total occlusion of the 3 major coronary arteries in a patient with inferior ST-segment elevation myocardial infarction complicated by cardiogenic shock and sinus bradycardia

Simultaneous occlusion of more than one coronary artery is uncommon and associated with poor prognosis. We reported a particular case of a 62-year-old patient, who presented with an inferior ST-segment elevation myocardial infarction with right ventricular involvement complicated by cardiogenic shoc...

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Autores principales: El-Azrak, Mohammed, Boutaybi, Mohammed, El Ouafi, Noha, Bazid, Zakaria
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2023
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9931509/
https://www.ncbi.nlm.nih.gov/pubmed/36818999
http://dx.doi.org/10.1016/j.radcr.2022.12.066
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author El-Azrak, Mohammed
Boutaybi, Mohammed
El Ouafi, Noha
Bazid, Zakaria
author_facet El-Azrak, Mohammed
Boutaybi, Mohammed
El Ouafi, Noha
Bazid, Zakaria
author_sort El-Azrak, Mohammed
collection PubMed
description Simultaneous occlusion of more than one coronary artery is uncommon and associated with poor prognosis. We reported a particular case of a 62-year-old patient, who presented with an inferior ST-segment elevation myocardial infarction with right ventricular involvement complicated by cardiogenic shock, sinus bradycardia, and an extensive echocardiographic ischemia with severe left ventricular systolic dysfunction. Coronary angiography revealed occlusion of 3 major coronary arteries. Primary percutaneous coronary intervention of the right coronary artery was performed with hemodynamic recovery, chest pain, and ST-segment resolution. Treatment for heart failure with reduced ejection fraction was initiated, with a good outcome.
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spelling pubmed-99315092023-02-17 Simultaneous total occlusion of the 3 major coronary arteries in a patient with inferior ST-segment elevation myocardial infarction complicated by cardiogenic shock and sinus bradycardia El-Azrak, Mohammed Boutaybi, Mohammed El Ouafi, Noha Bazid, Zakaria Radiol Case Rep Case Report Simultaneous occlusion of more than one coronary artery is uncommon and associated with poor prognosis. We reported a particular case of a 62-year-old patient, who presented with an inferior ST-segment elevation myocardial infarction with right ventricular involvement complicated by cardiogenic shock, sinus bradycardia, and an extensive echocardiographic ischemia with severe left ventricular systolic dysfunction. Coronary angiography revealed occlusion of 3 major coronary arteries. Primary percutaneous coronary intervention of the right coronary artery was performed with hemodynamic recovery, chest pain, and ST-segment resolution. Treatment for heart failure with reduced ejection fraction was initiated, with a good outcome. Elsevier 2023-01-19 /pmc/articles/PMC9931509/ /pubmed/36818999 http://dx.doi.org/10.1016/j.radcr.2022.12.066 Text en © 2022 The Authors. Published by Elsevier Inc. on behalf of University of Washington. https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Case Report
El-Azrak, Mohammed
Boutaybi, Mohammed
El Ouafi, Noha
Bazid, Zakaria
Simultaneous total occlusion of the 3 major coronary arteries in a patient with inferior ST-segment elevation myocardial infarction complicated by cardiogenic shock and sinus bradycardia
title Simultaneous total occlusion of the 3 major coronary arteries in a patient with inferior ST-segment elevation myocardial infarction complicated by cardiogenic shock and sinus bradycardia
title_full Simultaneous total occlusion of the 3 major coronary arteries in a patient with inferior ST-segment elevation myocardial infarction complicated by cardiogenic shock and sinus bradycardia
title_fullStr Simultaneous total occlusion of the 3 major coronary arteries in a patient with inferior ST-segment elevation myocardial infarction complicated by cardiogenic shock and sinus bradycardia
title_full_unstemmed Simultaneous total occlusion of the 3 major coronary arteries in a patient with inferior ST-segment elevation myocardial infarction complicated by cardiogenic shock and sinus bradycardia
title_short Simultaneous total occlusion of the 3 major coronary arteries in a patient with inferior ST-segment elevation myocardial infarction complicated by cardiogenic shock and sinus bradycardia
title_sort simultaneous total occlusion of the 3 major coronary arteries in a patient with inferior st-segment elevation myocardial infarction complicated by cardiogenic shock and sinus bradycardia
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9931509/
https://www.ncbi.nlm.nih.gov/pubmed/36818999
http://dx.doi.org/10.1016/j.radcr.2022.12.066
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