Carotid Endarterectomy in a Patient With Type 2 Myocardial Infarction During Preparation for Surgery: A Case Report
| Autor: | Ronza Salem, Giora Landesberg, Ron Karmeli, Eyal Avraham, Alexander Avidan |
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| Rok vydání: | 2019 |
| Předmět: |
Male
medicine.medical_specialty medicine.medical_treatment Clinical Decision-Making Myocardial Infarction Carotid endarterectomy Chest pain Perioperative Care Coronary artery disease Electrocardiography medicine Humans Medical history Carotid Stenosis cardiovascular diseases Myocardial infarction Endarterectomy Aged 80 and over Endarterectomy Carotid business.industry General Medicine Amaurosis fugax medicine.disease Troponin Surgery Stenosis Treatment Outcome medicine.symptom business |
| Zdroj: | AA practice. 13(4) |
| ISSN: | 2575-3126 |
| Popis: | We present a patient who was admitted for carotid endarterectomy due to tight carotid stenosis and recent amaurosis fugax. His medical history included significant coronary artery disease with stable angina pectoris, hypertension with wide pulse pressure, chronic renal failure, and anemia. During preparation for surgery, the patient developed type 2 myocardial infarction with prolonged chest pain, ST depressions on electrocardiogram, and significant troponin elevations. The patient posed a serious clinical dilemma whether to continue with surgery despite the type 2 myocardial infarction or postpone the surgery. We discuss the diagnostic tests and the decision-making processes that guided us in the preoperative period. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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