Thrombotic Occlusion of Stents in a Patient with STEMI KILLIP II: Case Report
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Keywords
Angioplasty, Heart Failure, stents
Abstract
This article presents the case of a 52-year-old man with cardiovascular risk factors who was diagnosed with anterior-inferior ST-Segment Elevation Acute Coronary Syndrome (STEMI) KILLIP II and thrombotic occlusion of stents implanted in the left anterior descending (LAD) and right coronary arteries (RCA). The patient, who experienced oppressive central chest pain, was treated with a variety of medications, including anticoagulants, antiplatelets, and heart failure drugs. The thrombotic occlusion was treated with balloon angioplasty. This case highlights the importance of a multidisciplinary approach and the application of the latest recommendations in the management of STEMI, as well as the evaluation and management of cardiovascular risk factors in the diagnosis and treatment of these conditions.
References
2. García C, Astocondor L, Banda C. Enterobacterias productoras de betalactamasas de espectro extendido: Situación en América Latina y en el Perú. Acta Med Per. 2012;29(3):163-169.
3. Sanchez Artola B. Betalactamasas de espectro extendido (BLEE). Curso sepsis grave: capítulo 6. Rev Electron Med Intensiva. 2004;4(8): fascículo N° C6.
4. Arias ML, Monge R, Antillón F, Chaves C. Effect of storage temperature on growth and survival of Escherichia coli O157 inoculated in foods from a neotropical environment. Rev Biol Trop. 2001;42:517-524.
5. Barrantes X, Railey D, Arias ML, Chaves C. Evaluación del efecto de cultivos probióticos adicionados a yogurt comercial sobre poblaciones conocidas de Listeria monocytogenes y Escherichia coli O157. Arch Latinoam Nutr [Internet]. 2004;54(3). Disponible en: http://ve.scielo.org/scielo.php?script=sci_arttext&pid=S0004-06222004000300006&lng=es&nrm=iso. ISSN 0004-0622.
6. Martín Clavo S, Martín Cillero MT, Liso Rubio FJ. Tratamiento de las infecciones producidas por beta-lactamasas de espectro extendido (BLEE). [Internet]. Fundación PROMEDIA. Disponible en: www.fundacionpromedia.org/estudios-universitarios/.../cap4.pdf.
7. Hooton T, Roberts P, Cox M, Stapleton A. Voided midstream urine culture and acute cystitis in premenopausal women. N Engl J Med. 2013 Nov 14;369(20):1883-1891.
8. NIH HMP Working Group. The NIH Human Microbiome Project. Genome Res. 2009 Dec;19(12):2317-23. doi: 10.1101/gr.096651.109. Epub 2009 Oct 9. PMID: 19819907; PMCID: PMC2792171.
9. Lynch SV, Pedersen O. The Human Intestinal Microbiome in Health and Disease. N Engl J Med [Internet]. 2016;375(24):2369-79. Disponible en: https://www.nejm.org/doi/full/10.1056/NEJMra1600266.
10. Romero R, Hassan SS, Gajer P, Tarca AL, Fadrosh DW, Nikita L, et al. The composition and stability of the vaginal microbiota of normal pregnant women is different from that of non-pregnant women. Microbiome. 2014 Feb 3;2(10). doi: 10.1186/2049-2618-2-4.
11. Vallor AC, Antonio MA, Hawes SE, Hillier SL. Factors associated with acquisition of, or persistent colonization by, vaginal lactobacilli: role of hydrogen peroxide production. J Infect Dis. 2001;184:1431-1436.
12. Reid G, Bruce AW, Taylor M. Instillation of Lactobacillus and stimulation of indigenous organisms to prevent recurrence of urinary tract infections. Microecol Ther. 1995;23:32-45.
13. Boskey ER, Cone RA, Whaley KJ, Moench TR. Origins of vaginal acidity: high D/L lactate ratio is consistent with bacteria being the primary source. Hum Reprod. 2001;16:1809-1813.
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MD Manuel Flores-Sáenz, Facultad de Medicina y Ciencias de la Salud. Universidad de Alcalá. Madrid. España.
Doctorando en Ciencias de la Salud. Graduado en Medicina por la Universidad de Alcalá