Why the study?
Coronary embolization is a rare cause of acute myocardial infarction, described here complicating elective CRT-D lead replacement.
Coronary embolization is a rare but severe complication that can occur during CRT-D electrode replacement, particularly when anticoagulation is suspended.
Coronary embolism can trigger STEMI during CRT-D lead exchange in AF; hypothesis-generating for procedural prevention.
Ăvod: KoronĂĄrna embolizĂĄcia je raritnou prĂÄinou akĂştneho infarktu myokardu. V prĂĄci popisujeme prĂpad koronĂĄrnej embolizĂĄcie, ktorĂĄ spĂ´sobila extenzĂvny anterolaterĂĄlny infarkt myokardu s elevĂĄciami segmentu ST (STEMI) u pacienta podstupujĂşceho elektĂvnu vĂ˝menu elektrĂłdy srdcovej resynchronizaÄnej lieÄby/defibrilĂĄtora (CRT-D). Popis prĂpadu: 72-roÄnĂ˝ pacient s fibrilĂĄciou predsienĂ bol prijatĂ˝ za ĂşÄelom realizĂĄcie elektĂvnej repozĂcie/vĂ˝meny elektrĂłdy CRT-D. Pred vĂ˝konom bola pozastavenĂĄ antikoagulaÄnĂĄ lieÄba. Po vĂ˝kone u pacienta vznikla nĂĄhla bolesĹĽ na hrudnĂku, dĂ˝chavica a zhorĹĄenie vitĂĄlnych funkciĂ. Tieto prĂznaky sprevĂĄdzal nĂĄlez rozsiahlych ischemickĂ˝ch zmien na EKG v anterolaterĂĄlnej oblasti a koreĹĄpondujĂşcich lokĂĄlnych porĂşch kinetiky. UrgentnĂĄ koronarografia odhalila embolickĂ˝ uzĂĄver distĂĄlnej Äasti ramus interventricularis anterior Äžavej koronĂĄrnej artĂŠrie. ZĂĄver: Prezentujeme prĂpad raritnej, dobre dokumentovanej koronĂĄrnej embolizĂĄcie komplikujĂşcej vĂ˝menu elektrĂłdy CRT-D.
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Benko et al. (2022) studied this question.
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