{"id":8444,"date":"2024-01-05T15:19:09","date_gmt":"2024-01-05T07:19:09","guid":{"rendered":"https:\/\/www.brosmed.com\/?post_type=clinical&p=8444"},"modified":"2024-01-05T15:36:47","modified_gmt":"2024-01-05T07:36:47","slug":"case-interpretation-how-to-maximize-the-lumen-benefit-when-emergency-pci-is-accompanied-by-left-main-bifurcation-lesions","status":"publish","type":"clinical","link":"https:\/\/www.brosmed.com\/en\/Clinicals\/case-interpretation-how-to-maximize-the-lumen-benefit-when-emergency-pci-is-accompanied-by-left-main-bifurcation-lesions\/","title":{"rendered":"Case Interpretation | How to maximize the lumen benefit when emergency PCI is accompanied by left main bifurcation lesions?"},"content":{"rendered":"\n
Introduction<\/strong><\/p>\n\n\n\n The treatment strategy of left main bifurcation lesions has been a controversial topic in clinic. How to choose the optimal treatment strategy for emergency PCI? Does the choice among different devices help the surgeon more?<\/p>\n\n\n\n Today, the editor brings you this case sharing: How to achieve the best treatment effect when emergency PCI is accompanied by left main bifurcation lesions?<\/p>\n\n\n\n 01 Patient Information<\/strong><\/p>\n\n\n\n Basic information:<\/strong> Medical history data:<\/strong> Physical examination:<\/strong> Laboratory tests:<\/strong> Admission examination:<\/strong>
Sex:<\/strong> Male;
Age:<\/strong> 43 years old;
Weight:<\/strong> 80 kg;<\/p>\n\n\n\n
Chief complaint:<\/strong> sudden chest pain for 11 hours;
Present illness:<\/strong> The patient had chest pain after activity 11 hours ago, accompanied by profuse sweating, shortness of breath, and fatigue, which continued to fail to relieve. An electrocardiogram performed at the local hospital indicated “acute anterior wall myocardial infarction.”
Past history:<\/strong> A stent was implanted in the LAD due to angina six months ago, but the medication was not taken as required after the operation; He has a 7-year history of diabetes and is treated with oral metformin and glimepiride, but the blood glucose is poorly controlled; he has a history of hyperlipidemia for many years;
Personal history:<\/strong> Smoking for 30 years, with 40 cigarettes\/day; occasional drinking;<\/p>\n\n\n\n
Clear mind and poor energy in semi-recumbent position;
BP: 124\/94mmHg, P: 96bpm;
No abnormalities heard in the heart, lungs and abdomen, and no edema in both lower limbs;<\/p>\n\n\n\n
Cardiac color ultrasound: EF: 43%, left ventricular anterior wall motion amplitude decreased, no abnormalities in each cardiac chamber, valve, or aorta;
cTNI: 4.0ng\/mL, MYO: 807ng\/mL, CK-MB: 278ng\/mL;
Blood glucose: 14.64mmol\/L;<\/p>\n\n\n\n
Electrocardiogram: ST segment elevation in leads I, avL, V1-V6<\/p>\n\n\n\n