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January 1, 2019MedicineOpen Access

Nonobstructive coronary artery myocardial infarction complicated by heart failure, ventricular aneurysm, and incessant ventricular arrhythmia

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Key result

ICD and surgical aneurysm removal successfully treat refractory VT in a MINOCA patient.

  • n=1

Why the study?

MINOCA is a common cause of cardiac-related death whose prognosis can worsen without appropriate management, highlighting the need to report cases involving multiple severe complications.

Population

A 63-year-old female with MINOCA complicated by multiple complications

Design

Case report

Follow-up

3 months

Authors

BLBeibei LiSecond Hospital of Shandong UniversityZMZhixu MingJWJing WuWenzhou Medical University

Discussion

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Implication

May support ICD and aneurysmectomy for refractory VT in MINOCA; hypothesis-generating and requires validation in prospective studies.

Study Design

Type

Case Report (n=1)

Structured PICO

P
Population
A 63-year-old female with MINOCA complicated by ventricular thrombus, heart failure, and ventricular arrhythmia, followed for 3 months after surgery.
I
Intervention
Epicardial ablation followed by implantable cardioverter defibrillator (ICD) implantation and surgical removal of the ventricular aneurysm.
O
Outcome
Freedom from events at 3-month follow-up.

Surgical removal of a ventricular aneurysm combined with ICD implantation can be an effective treatment for refractory ventricular tachycardia in patients with complicated MINOCA.

Cite This Study

Li et al. (2019) conducted a case report in Myocardial infarction with nonobstructive coronary artery (MINOCA) (n=1). Implantable cardioverter defibrillator and surgical removal of the ventricular aneurysm was evaluated on Freedom from events. Implantable cardioverter defibrillator and surgical removal of a ventricular aneurysm successfully treated refractory ventricular tachycardia in a MINOCA patient, with no events at 3 months.

synapsesocial.com/papers/6aa9345841c17eda1a8cbb33https://doi.org/10.1097/md.0000000000013995

Topics

Heart failureHFrEF treatment
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Systematic Review of Patients Presenting With Suspected Myocardial Infarction and Nonobstructive Coronary Arteries2015 · 1,004 citations
  2. 2Mortality of Myocardial Infarction by Sex, Age, and Obstructive Coronary Artery Disease Status in the ACTION Registry–GWTG (Acute Coronary Treatment and Intervention Outcomes Network Registry–Get With the Guidelines)2017 · 353 citations
  3. 3Long-term survival and causes of death in patients with ST-elevation acute coronary syndrome without obstructive coronary artery disease2017 · 127 citations
  4. 4Effect of Long-Detection Interval vs Standard-Detection Interval for Implantable Cardioverter-Defibrillators on Antitachycardia Pacing and Shock Delivery2013 · 409 citations
  5. 5ACC/AHA/HRS 2008 Guidelines for Device-Based Therapy of Cardiac Rhythm Abnormalities2008 · 1,775 citations