50 Year Old Male: Chest Pain, Hypotension, Pulmonary Edema (Conclusion)

Conclusion of Our Case Oh yeah! We were discussing a real patient. What happened there? The patient was intubated for pulmonary edema complicating cardiogenic shock and taken immediately to the cath lab. Angiography of the right coronary artery was grossly normal, showing a dominant RCA. pic.twitter.com/3zzlMdQbhv — Musa A. Sharkawi (@MusaSharkawi) December 21, 2017   When they shot the left coronary system, however, only a stump was visible due to a thrombotic 100% occlusion of the left main coronary artery. LM pic.twitter.com/bGJsplQcwp — Musa A. Sharkawi (@MusaSharkawi) December 21, 2017   Balloon angioplasty was performed… Thrombotic distal LM lesion after initial pic.twitter.com/xR743bjfq9 — Musa A. Sharkawi (@MusaSharkawi) December 21, 2017   …along with stenting. 4.0×22 DES LM to LCx. strut to LAD and OM. Ugly ventricular arrhythmias throughout case. Tx to CCU. CI 2.4. pic.twitter.com/Kjy7GnPrYx — Musa A. Sharkawi (@MusaSharkawi) December 21, 2017   Unfortunately I don’t know more about the patient’s outcome, but these cases are always difficult to manage and often end poorly even with optimal care. That’s all the more reason to know how to recognize this pattern and get the patient to definitive management as soon as possible.   I’d like to thank interventional cardiologist Dr. Musa A. Sharkawi yet again for allowing use to reproduce his case here. For more on massive anterolateral STEMIs p...
Source: EMS 12-Lead - Category: Cardiology Authors: Tags: Cases Vince DiGiulio Source Type: research