scholarly journals Symptomatic Coronary-Pulmonary Fistula Revealed with Coronary CT Angiography

2017 ◽  
Vol 3 (2) ◽  
pp. 89-92
Author(s):  
Sára Papp ◽  
István Ferenc Édes ◽  
Béla Merkely ◽  
Pál Maurovich-Horvat ◽  
Mihály Károlyi

Abstract Introduction: Coronary artery fistulas are usually incidental findings and rarely cause any clinical symptoms. Case presentation: In this case a coronary pulmonary fistula was revealed by coronary CT angiography and as it was considered responsible for the patients’ symptoms, its’ closure was performed during percutaneous coronary intervention. Conclusion: The noninvasive coronary CT angiography is a valuable examination in the diagnosis of coronary anomalies.

2015 ◽  
pp. 59-64
Author(s):  
Sonny Hilal Wicaksono

Tindakan Primary Percutaneous Coronary Intervention (PPCI) untuk pasien sindrom koroner akut (SKA) dengan ST elevasi (STEMI=ST elevation myocardial infarction) telah berjasa banyak dalam menurunkan mortalitas. Namun kerusakan jaringan miokard pasca PPCI tetap terjadi, akibat iskemia yang telah berlangsung sebelum reperfusi berhasil, atau kerusakan jaringan miokard akibat cedera reperfusi. Hal tersebut menimbulkan konsekuensi morbiditas akibat SKA berupa gagal jantung. Sehingga dikhawatirkan bila SKA tidak dicegah, di masa yang akan datang akan timbul epidemi gagal jantung. Oleh sebab itu strategi pencegahan terjadinya SKA perlu menjadi pengetahuan dasar bagi seluruh dokter spesialis jantung dan pembuluh darah (SpJP) agar epidemi gagal jantung dapat dicegah.Strategi pencegahan SKA tetap memegang 5 prinsip:1. Health Promotion2. Primary Prevention3. Early Detection and Prompt Treatment4. Secondary Prevention5. RehabilitationPoin pertama dan kedua dilakukan langsung ke tengah masyarakat di luar klinik atau rumah sakit, mulai dari poin ke-tiga, yaitu deteksi dini, dilakukan dalam praktek klinik.


2022 ◽  
Vol 4 (1) ◽  
Author(s):  
Georgios Tzimas ◽  
Gaurav S. Gulsin ◽  
Hidenobu Takagi ◽  
Niya Mileva ◽  
Jeroen Sonck ◽  
...  

2016 ◽  
Vol 2 (4) ◽  
pp. 185-187 ◽  
Author(s):  
Zsófia Dóra Drobni ◽  
Mihály Károlyi ◽  
Krisztina Heltai ◽  
András Simon ◽  
Béla Merkely ◽  
...  

Abstract Introduction: Wellens’ Syndrome is indicated by deeply inverted or biphasic T-waves in V2-V3 precordial leads without ST elevation or pathological Q waves, immediately following an episode of angina pectoris. Case presentation: A case of Wellens’ syndrome depicted by coronary CT angiography (CTA) and invasive coronary angiography is reported. Conclusion: Recognition of these ECG changes is important, due to the imminent danger of acute LAD occlusion. Patients with Wellens’ syndrome should undergo invasive coronary angiography without delay. Ischemia provocation tests (i.e. treadmill) are contraindicated in these patients.


2016 ◽  
Vol 23 (11) ◽  
pp. 1384-1392 ◽  
Author(s):  
Aryeh Shalev ◽  
Ryo Nakazato ◽  
Reza Arsanjani ◽  
Rine Nakanishi ◽  
Hyung-Bok Park ◽  
...  

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