Naslov
A case report of a patient with multivessel coronary artery disease and postinfarction angina pectoris

Autori
Zulumović, Magdalena ; Pokos, Jelena ; Zagorac, Nikolina ; Šporčić, Ivan ; Stažić, Anto ; Bačun, Tatjana

Vrsta, podvrsta i kategorija rada
Sažeci sa skupova, sažetak, znanstveni

Izvornik
OSCON Book of Abstracts / - Osijek, 2022

ISBN
978-953-7736-56-9

Skup
4th International Translational Medicine Congress of Students and Young Physicians (OSCON 2022)

Mjesto i datum
Osijek, Hrvatska, 31.03.2022. - 02.04.2022

Vrsta sudjelovanja
Poster

Vrsta recenzije
Međunarodna recenzija

Ključne riječi
angina pectoris ; chest pain ; coronary reperfusion

Sažetak
Introduction: Postinfaretion angina is an ischemic chest pain that occurs in 10 to 15 percent of patients 24 hours or more following a myocardial infarction (MI). We present a case of a patient suffering from coronary artery disease (CAD) and postinfarction angina to highlight the importance of optimal treatment and effects it has on patients' life quality. Case report: The patient is a 79-year-old man with a history of hypertension, CAD and ST-elevation MI. During his hospitalization, coronarography showed chronic total occlusions of both left circumflex and distal part of left anterior descending artery. Percutaneous coronary intervention (PCI) to the culprit lesion of MI as a first treatment option wasn't performed due to coronary anatomy. After the evaluation of risks using European System for Cardiac Operative Risk Evaluation II, coronary artery bypass grafting (CABG) was suggested. The patient had refused the surgery and was given nitroglycerin spray, acetylsalicylic acid, enoxaparin, ticagrelor, atorvastatin, pantoprazole, amlodipine/perindopril, bisoprolol, trimetazidine chloride. and instructed to control his hypertension, stop smoking, as well as to increase his physical activity. After discharge, the patient complained of his reduced exercise tolerance during which he had chest pain. Conclusion: Postinfarction angina can reduce life quality. In its management, coronary reperfusion (PCI, CABG), optimal medical therapy and lifestyle changes can cause symptom reduction, while heart transplant remains a last-line treatment for those who have exhausted all other options. Moreover, patients' education is important in aiming to achieve better compliance and reduce mortality risk.

Izvorni jezik
Engleski

Znanstvena područja
Temeljne medicinske znanosti, Kliničke medicinske znanosti

POVEZANOST RADA