通过使用支架成功治疗对各种疗法耐药的血管节痛:一个病例报告
Morio Ono1, Toshitaka Okabe1, Naoei Isomura1
1Division of Cardiology, Showa University Northern Yokohama Hospital, Tsuzuki, Yokohama, Japan.
Journal of cardiology cases
|November 1, 2024
概括
不对药物和神经阻塞有反应的耐火性冠状动脉痛经,通过支架成功治疗. 这种干预解决了心室动脉冲动,并在一个具有挑战性的病例中显著减少了胸痛症状.
科学领域:
- 心脏病学 心脏病学
- 干预心脏病学 干预心脏病学
背景情况:
- 耐火性冠状动脉胸痛 (angina pectoris) 存在重大管理挑战.
- 传统疗法,包括药物和交感神经干预,往往证明是不够的.
研究的目的:
- 报告一例耐火性冠状动脉心痛病例,成功通过冠状动脉支架进行治疗.
- 突出支架作为复杂病例的可行治疗选择.
主要方法:
- 一名患有冠状动脉心痛的患者接受了治疗,该患者对多种药物和干预措施耐药.
- 冠状动脉扫描显示了显著的狭窄,导致所有主要右冠状动脉干的支架.
- 管理包括之前试验的通道阻塞剂,甘,法苏迪尔,星状关节阻塞,胸部交感阻塞,类固醇和代诺巴胺.
主要成果:
- 植入支架后,每日心痛发作停止,心室性心力衰竭 (VT) 消失.
- 患者通过现有的药物治疗实现了慢性阶段控制,只经历了轻微的胸痛.
- 植入可植入心脏转换器-除器的植入是必要的,因为在支架之前出现了复发性静脉动.
结论:
- 冠状动脉支架可以成为耐火性冠状动脉痛的有效治疗方法.
- 这一案例表明,当其他疗法失败时,通过支架成功解决了心肌痛和潜在致命的腹腔动脉冲动.
相关概念视频
Antianginal Drugs: Calcium Channel Blockers and Ranolazine
457
Angina pectoris, a primary symptom of ischemic heart disease, requires careful pharmacological interventions. In this context, calcium channel blockers (CCBs) and ranolazine have emerged as crucial pharmacotherapeutic agents, providing deep insights into the complexities of angina management.
CCBs, a diverse class that includes dihydropyridines (nifedipine) and diphenylalkylamines (verapamil and diltiazem), exert their effect by blocking calcium channels in cardiac and smooth muscle cells. This...
CCBs, a diverse class that includes dihydropyridines (nifedipine) and diphenylalkylamines (verapamil and diltiazem), exert their effect by blocking calcium channels in cardiac and smooth muscle cells. This...
457
Antianginal Drugs: Nitrates and β-Blockers
531
In cardiovascular health, antianginal drugs combat angina pectoris — a condition marked by chest pain owing to diminished blood flow to the heart.
Organic nitrates, such as nitroglycerin, play a pivotal role. Once metabolized, they liberate nitric oxide, a molecular marvel. Nitric oxide triggers guanylyl cyclase and augments cGMP production. This biochemical cascade orchestrates the relaxation of vascular smooth muscles, ushering in vasodilation and enhancing coronary blood flow....
Organic nitrates, such as nitroglycerin, play a pivotal role. Once metabolized, they liberate nitric oxide, a molecular marvel. Nitric oxide triggers guanylyl cyclase and augments cGMP production. This biochemical cascade orchestrates the relaxation of vascular smooth muscles, ushering in vasodilation and enhancing coronary blood flow....
531
Myocarditis III: Medical Management
2
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...
2
Treatment for Pulmonary Arterial Hypertension: Prostacyclin Receptor Agonists
154
Prostacyclin receptor agonists are a class of therapeutic agents integral to managing pulmonary arterial hypertension (PAH). These drugs operate by mimicking the action of prostaglandin I2, or PGI2, a naturally occurring compound in the body.
These agonists bind to the IPR receptor situated on the plasma membrane of the pulmonary artery smooth muscle cells. This binding triggers a cascade of reactions known as the GS-AC-cAMP-PKA pathway. This pathway results in the relaxation of smooth muscle...
These agonists bind to the IPR receptor situated on the plasma membrane of the pulmonary artery smooth muscle cells. This binding triggers a cascade of reactions known as the GS-AC-cAMP-PKA pathway. This pathway results in the relaxation of smooth muscle...
154


