由大规模右冠状动脉气栓塞引起的心室动:一个病例报告
Hongcai Zhang1, Ai-Ling Huang2, Qian Nie1
1Department of Cardiology, Hospital of Chengdu University of Traditional Chinese Medicine, Chengdu, Sichuan Province, People's Republic of China.
概括
穿皮冠状动脉干预期间冠状动脉气栓塞可能是危及生命的. 电动除有效地分散了大规模的气栓,恢复了冠状动脉循环,并导致完全恢复.
科学领域:
- 心脏病学 心脏病学
- 干预心脏病学 干预心脏病学
- 关键护理医学 关键护理医学
背景情况:
- 冠状动脉气栓塞是冠状动脉干预期间罕见但严重的并发症.
- 冠状动脉中大规模的气栓塞会导致严重的血液动力学损害.
研究的目的:
- 在穿皮冠状动脉干预期间报告大规模冠状动脉气栓塞病例.
- 为了突出这种罕见并发症的有效复苏策略.
主要方法:
- 在穿皮冠状动脉干预期间,在右冠状动脉出现大规模气栓塞的病例.
- 患者经历了心室动,并接受了电动除治疗.
主要成果:
- 通过电动除成功进行了复苏.
- 恢复TIMI 3冠状动脉流.
- 在最终的分流储备评估中没有残留的冠状动脉微血管功能障碍.
结论:
- 强烈的心肌收缩由心脏转换器除器诱导,可以有效地分散大的冠状动脉气栓.
- 在大规模气栓塞的情况下,这种干预可以恢复冠状动脉循环.
- 在干预期间,电动除作为冠状动脉气栓塞的潜在治疗选择.
相关概念视频
Disturbances in Heart Rhythm
895
Arrhythmia or dysrhythmia refers to an abnormal heart rhythm caused by a defect in the heart's conduction system. It can cause the heart to beat irregularly, too quickly, or too slowly, leading to symptoms like chest pain, shortness of breath, and fainting. Factors such as stress, caffeine, alcohol, nicotine, cocaine, certain drugs, congenital defects, diseases, and electrolyte abnormalities can trigger arrhythmias.
Arrhythmias are categorized by their speed, rhythm, and origin. A slow...
Arrhythmias are categorized by their speed, rhythm, and origin. A slow...
895
Coronary Circulation
2.2K
The heart, an organ critical to survival, gets nourishment not from the blood it pumps but from a separate circulation system known as coronary circulation. This is the shortest circulation in the body and is responsible for supplying the heart with the nutrients it needs to function effectively.
Coronary circulation begins at the base of the aorta, where two main arteries arise—the left and right coronary arteries. These arteries encircle the heart in the coronary sulcus and supply the...
Coronary circulation begins at the base of the aorta, where two main arteries arise—the left and right coronary arteries. These arteries encircle the heart in the coronary sulcus and supply the...
2.2K
Pneumothorax-I
169
A pneumothorax is a condition where air builds up in the space between the lung and the chest wall, causing the lung to collapse. This condition arises when air enters the space between the parietal and visceral pleura, disrupting the negative pressure essential for lung inflation. This can lead to a partial or complete collapse of the lung.
Pneumothorax can be even further classified as spontaneous, traumatic, and tension pneumothorax.
Pneumothorax can be even further classified as spontaneous, traumatic, and tension pneumothorax.
169
Flail Chest-I
139
Overview of Flail Chest
Flail chest is a severe and potentially life-threatening condition characterized by the fracture of three or more adjacent ribs in multiple places. It is most commonly caused by direct impacts and trauma, such as motor vehicle accidents or injuries from a steering wheel impact. It can also occur due to falls in elderly individuals with osteoporosis, or assaults involving sharp objects.
Pathophysiology
The pathophysiology of flail chest is complex, involving fractures of...
Flail chest is a severe and potentially life-threatening condition characterized by the fracture of three or more adjacent ribs in multiple places. It is most commonly caused by direct impacts and trauma, such as motor vehicle accidents or injuries from a steering wheel impact. It can also occur due to falls in elderly individuals with osteoporosis, or assaults involving sharp objects.
Pathophysiology
The pathophysiology of flail chest is complex, involving fractures of...
139


