Related Experiment Video
Updated: Mar 24, 2026
06:10
Utilizing Percutaneous Ventricular Assist Devices in Acute Myocardial Infarction Complicated by Cardiogenic Shock
Published on: June 12, 2021
3.8K
Percutaneous Coronary Intervention in a Patient With Severe Systemic Vasculitis and Myocardial Infarction
Michael R Ward1, Wael Abuzeid1, Kevin Venus1
1Schulich Heart Centre, Sunnybrook Health Sciences Centre, University of Toronto, Toronto, Ontario, Canada.
The Canadian Journal of Cardiology
|March 14, 2016
Summary
A 72-year-old woman experienced acute coronary syndrome due to coronary vasculitis. Treatment involved high-dose immunosuppression and percutaneous coronary intervention for persistent angina.
Area of Science:
- Cardiology
- Immunology
- Vascular Medicine
Background:
- Acute coronary syndrome (ACS) is a critical cardiovascular condition.
- Coronary vasculitis, though rare, can lead to severe coronary artery disease.
- Early diagnosis and management are crucial for patient outcomes.
Observation:
- A 72-year-old female presented with symptoms indicative of ACS.
- Imaging revealed diffuse coronary ectasia and significant stenosis in the left anterior descending artery.
- These findings strongly suggested underlying coronary vasculitis.
Findings:
- The patient was treated with high-dose immunosuppressive therapy.
- Despite initial treatment, refractory angina persisted.
- Percutaneous coronary intervention (PCI) was ultimately required to manage the severe stenosis.
Implications:
- Coronary vasculitis requires aggressive immunosuppression and potentially interventional procedures.
- This case highlights the importance of considering vasculitis in ACS patients with ectasia and stenosis.
- Optimal management strategies for coronary vasculitis in ACS are still evolving.
Related Concept Videos
01:28Acute Coronary Syndrome IV: Interprofessional Care
439
IntroductionThe management of Acute Coronary Syndrome (ACS) aims to minimize myocardial damage, preserve myocardial function, and prevent complications.Initial ManagementInpatient management involves continuous cardiac monitoring, preferably in an ICU, focusing on blood pressure, serum sodium, potassium, and creatinine levels, and urine output. Ongoing pharmacologic management is crucial for stabilizing the patient.Supplemental Oxygen: Administer supplemental oxygen if oxygen saturation is...
439
01:14Myocarditis III: Medical Management
313
Myocarditis: Comprehensive Medical ManagementMyocarditis, the heart muscle inflammation, requires a comprehensive medical management strategy that addresses the underlying cause, provides supportive care, manages symptoms, and reduces cardiac workload.Infections and Autoimmune CausesAdminister appropriate antimicrobial therapy when an infectious agent causes myocarditis. For instance, penicillin treats infections caused by Group A Streptococcus. In cases where autoimmune processes are...
313
01:17Pericarditis III: Medical Management
494
The primary objectives of managing pericarditis are to determine the underlying cause, provide effective therapy for treatment and symptom relief, and promptly detect signs and symptoms of cardiac tamponade. The following outlines the essential aspects of medical management for pericarditis:ObjectivesDetermine the Cause: Identifying the underlying cause of pericarditis is crucial for targeted treatment. Causes include viral infections, autoimmune diseases, post-cardiac injury syndrome, and...
494
01:27Coronary Artery Disease V: Interprofessional Care
398
Interprofessional care for coronary artery disease includes pharmacological therapy and revascularization procedures.Pharmacological therapy for Coronary Artery Disease (CAD) aims to manage symptoms, prevent complications, and improve patient outcomes through various classes of medications:Antiplatelet Agents:Aspirin and Clopidogrel: These medications inhibit platelet aggregation, preventing blood clots, which is crucial for avoiding heart attacks and strokes. Doctors often prescribe these...
398
01:18Endocarditis III: Medical Management
329
Infective endocarditis management involves a multifaceted approach encompassing infection prevention, lifestyle modifications, pharmacological therapy, and surgical management.Infection Prevention:Hand Hygiene: Thorough handwashing is crucial to prevent the spread of infection. Hand hygiene should be performed regularly, especially before and after using the restroom.Oral Hygiene: Good oral hygiene is essential. It includes brushing teeth immediately after waking up and before bed, flossing...
329
01:30Acute Coronary Syndrome I: Introduction
1.5K
Acute Coronary Syndrome (ACS) encompasses a spectrum of heart conditions caused by sudden obstruction of coronary arteries, typically resulting from the rupture of an atherosclerotic plaque and subsequent thrombus (blood clot) formation. This obstruction can lead to partial or complete blockage of blood flow, causing varying degrees of myocardial ischemia or infarction.ACS includes the following clinical entities:Unstable Angina (UA)Non-ST-Elevation Myocardial Infarction (NSTEMI)ST-Elevation...
1.5K