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Signal Acquisition, Score Interpretation, and Economics of a Non-Invasive Point-of-Care Test for Coronary Artery Disease
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Signal Acquisition, Score Interpretation, and Economics of a Non-Invasive Point-of-Care Test for Coronary Artery Disease

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[The diagnostic approach of stable coronary heart disease : What risk can you trust ?]

Fanny Sollander1,2, Philippe Vernex1,2, Majd Ramlawi2

  • 1Service de médecine interne, Hôpital de La Tour, Avenue J.-D. Maillard 3, 1217 Meyrin.

Revue Medicale Suisse
|February 6, 2020
PubMed

Insights

A 72-year-old patient experienced cardiorespiratory arrest due to catheter-induced iatrogenic coronary artery dissection during a procedure for exertional dyspnea. The case highlights risks in diagnosing stable coronary syndromes.

Area of Science:

  • Cardiology
  • Interventional Cardiology
  • Medical Case Reports

Background:

  • Stable coronary syndromes require careful diagnostic evaluation.
  • Cardiovascular risk factors increase procedural complexity.
  • Exertional dyspnea necessitates thorough investigation.

Observation:

  • A 72-year-old patient with multiple cardiovascular risk factors presented with exertional dyspnea.
  • Diagnostic workup included percutaneous coronary intervention.
  • Catheter-induced iatrogenic coronary artery dissection (CICAD) occurred during the intervention.

Findings:

  • CICAD led to cardiorespiratory arrest in this patient.
  • Risk assessment is crucial at each diagnostic step.
  • Adherence to 2019 European Society of Cardiology guidelines is emphasized.

Implications:

  • This case underscores the potential complications of interventional procedures.
  • It highlights the importance of meticulous technique and risk stratification.
  • Understanding CICAD risks is vital for managing stable coronary syndromes.

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