MINOCA and Coronary Ectasia: a rare combination of causes of infarction
Objective: to describe a patient with myocardial ischemia with multiple causes. Clinical Case: This clinical case describes a 58-year-old man with a history of hypertension, dyslipidemia, COPD and previous myocardial infarction (AMI). He went to the emergency room with chest pain and dyspnea. Findin...
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| Autores principales: | , , , |
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| Formato: | Artículo revista |
| Lenguaje: | Español |
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Universidad Nacional Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología
2024
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| Materias: | |
| Acceso en línea: | https://revistas.unc.edu.ar/index.php/med/article/view/43231 |
| Aporte de: |
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I10-R327-article-43231 |
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ojs |
| institution |
Universidad Nacional de Córdoba |
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I-10 |
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R-327 |
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Revista de la Facultad de Ciencias Médicas de Córdoba |
| language |
Español |
| format |
Artículo revista |
| topic |
myocardial infarction MINOCA myocardial ischemia infarto de miocardio MINOCA isquemia miocárdica infarto do miocárdio MINOCA isquemia miocárdica |
| spellingShingle |
myocardial infarction MINOCA myocardial ischemia infarto de miocardio MINOCA isquemia miocárdica infarto do miocárdio MINOCA isquemia miocárdica Ricarte-Bratti, Juan Pablo Bono, Julio Oscar Emilio Morsone, Matias Londero, Hugo jose MINOCA and Coronary Ectasia: a rare combination of causes of infarction |
| topic_facet |
myocardial infarction MINOCA myocardial ischemia infarto de miocardio MINOCA isquemia miocárdica infarto do miocárdio MINOCA isquemia miocárdica |
| author |
Ricarte-Bratti, Juan Pablo Bono, Julio Oscar Emilio Morsone, Matias Londero, Hugo jose |
| author_facet |
Ricarte-Bratti, Juan Pablo Bono, Julio Oscar Emilio Morsone, Matias Londero, Hugo jose |
| author_sort |
Ricarte-Bratti, Juan Pablo |
| title |
MINOCA and Coronary Ectasia: a rare combination of causes of infarction |
| title_short |
MINOCA and Coronary Ectasia: a rare combination of causes of infarction |
| title_full |
MINOCA and Coronary Ectasia: a rare combination of causes of infarction |
| title_fullStr |
MINOCA and Coronary Ectasia: a rare combination of causes of infarction |
| title_full_unstemmed |
MINOCA and Coronary Ectasia: a rare combination of causes of infarction |
| title_sort |
minoca and coronary ectasia: a rare combination of causes of infarction |
| description |
Objective: to describe a patient with myocardial ischemia with multiple causes. Clinical Case: This clinical case describes a 58-year-old man with a history of hypertension, dyslipidemia, COPD and previous myocardial infarction (AMI). He went to the emergency room with chest pain and dyspnea. Findings included bibasal crackles, electrocardiogram with old anterior fibrosis, elevated NT-ProBNP, and echocardiogram with septoapical akinesia. During hospitalization, he experienced tachyarrhythmia and hemodynamic deterioration, undergoing electrical cardioversion (CVE). Non-ST segment elevation acute coronary syndrome (NSTEACS) complicated with ventricular arrhythmia and acute pulmonary edema was diagnosed. Coronary angiography revealed coronary ectasias without obstructive lesions, but with mild stenosis in three vessels. The patient was successfully treated with non-invasive ventilation, diuretics, vasodilators and anticoagulation. The discharge was granted with the plan to further studies to optimize and guide treatment and finally the diagnosis of Myocardial Infarction with Non-Obstructive Arteries (MINOCA) and the presence of coronary ectasias was addressed. Conclusion: it is important to highlight the non-ischemic causes in MINOCA and the association between coronary ectasia and cardiovascular events, which is why we emphasize the need for more studies to better understand the relationship between these phenomena. |
| publisher |
Universidad Nacional Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología |
| publishDate |
2024 |
| url |
https://revistas.unc.edu.ar/index.php/med/article/view/43231 |
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I10-R327-article-432312024-04-24T19:00:41Z MINOCA and Coronary Ectasia: a rare combination of causes of infarction MINOCA y Ectasia Coronaria: una combinación inusual de causas de infarto MINOCA e Ectasia Coronária: uma rara combinação de causas de infarto Ricarte-Bratti, Juan Pablo Bono, Julio Oscar Emilio Morsone, Matias Londero, Hugo jose myocardial infarction MINOCA myocardial ischemia infarto de miocardio MINOCA isquemia miocárdica infarto do miocárdio MINOCA isquemia miocárdica Objective: to describe a patient with myocardial ischemia with multiple causes. Clinical Case: This clinical case describes a 58-year-old man with a history of hypertension, dyslipidemia, COPD and previous myocardial infarction (AMI). He went to the emergency room with chest pain and dyspnea. Findings included bibasal crackles, electrocardiogram with old anterior fibrosis, elevated NT-ProBNP, and echocardiogram with septoapical akinesia. During hospitalization, he experienced tachyarrhythmia and hemodynamic deterioration, undergoing electrical cardioversion (CVE). Non-ST segment elevation acute coronary syndrome (NSTEACS) complicated with ventricular arrhythmia and acute pulmonary edema was diagnosed. Coronary angiography revealed coronary ectasias without obstructive lesions, but with mild stenosis in three vessels. The patient was successfully treated with non-invasive ventilation, diuretics, vasodilators and anticoagulation. The discharge was granted with the plan to further studies to optimize and guide treatment and finally the diagnosis of Myocardial Infarction with Non-Obstructive Arteries (MINOCA) and the presence of coronary ectasias was addressed. Conclusion: it is important to highlight the non-ischemic causes in MINOCA and the association between coronary ectasia and cardiovascular events, which is why we emphasize the need for more studies to better understand the relationship between these phenomena. Objetivo: describir un paciente con isquemia miocárdica con múltiples causas. Caso Clínico: En este caso clínico se describe a un hombre de 58 años con antecedentes de hipertensión, dislipidemia, EPOC e infarto de miocardio (IAM) previo. Acudió a urgencias con dolor torácico y disnea. Los hallazgos incluyeron crepitantes bibasales, electrocardiograma con fibrosis anterior antigua, NT-ProBNP elevado y ecocardiograma con acinesia septoapical. Durante la hospitalización, experimentó taquiarritmia y deterioro hemodinámico, siendo sometido a cardioversión eléctrica (CVE). Se diagnosticó síndrome coronario agudo sin elevación del segmento ST (SCASEST) complicado con arritmia ventricular y edema pulmonar agudo. La angiografía coronaria reveló ectasias coronarias sin lesiones obstructivas, pero con estenosis leve en tres vasos. El paciente fue tratado con éxito mediante ventilación no invasiva, diuréticos, vasodilatadores y anticoagulación. Se otorgó el alta con el plan de profundizar estudios para optimizar y guiar tratamiento y finalmente se abordó al diagnóstico de Infarto de Miocardio con Arterias No Obstructivas (MINOCA) y la presencia de ectasias coronarias. Conclusión: es importante destacar las causas no isquémicas en MINOCA y la asociación entre ectasia coronaria y eventos cardiovasculares, por lo que subrayamos la necesidad de más estudios para comprender mejor la relación entre estos fenómenos. Objetivo: descrever um paciente com isquemia miocárdica de múltiplas causas. Caso Clínico: No presente caso clínico, descreve-se um homem de 58 anos com histórico de hipertensão, dislipidemia, DPOC e infarto do miocárdio (IAM) prévio. Ele procurou atendimento de emergência com dor torácica e dispneia. Os achados incluíram crepitações bibasais, eletrocardiograma com fibrose anterior antiga, NT-ProBNP elevado e ecocardiograma com acinesia septoapical. Durante a hospitalização, ele apresentou taquiarritmia e deterioração hemodinâmica, sendo submetido a cardioversão elétrica (CVE). O diagnóstico foi síndrome coronariana aguda sem elevação do segmento ST (SCASEST) complicada por arritmia ventricular e edema pulmonar agudo.A angiografia coronariana revelou ectasias coronarianas sem lesões obstrutivas, mas com estenose leve em três vasos. O paciente foi tratado com sucesso com ventilação não invasiva, diuréticos, vasodilatadores e anticoagulação. A alta foi concedida com previsão de novos estudos para otimizar e orientar o tratamento e por fim foi abordado o diagnóstico de Infarto do Miocárdio com Artérias Não Obstrutivas (MINOCA) e presença de ectasias coronarianas. Conclusão: é importante destacar as causas não isquêmicas no MINOCA e a associação entre ectasia coronariana e eventos cardiovasculares, por isso enfatizamos a necessidade de mais estudos para melhor compreender a relação entre esses fenômenos. Universidad Nacional Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología 2024-03-27 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion text/html application/pdf https://revistas.unc.edu.ar/index.php/med/article/view/43231 10.31053/1853.0605.v81.n1.43231 Revista de la Facultad de Ciencias Médicas de Córdoba.; Vol. 81 No. 1 (2024); 155-166 Revista de la Facultad de Ciencias Médicas de Córdoba; Vol. 81 Núm. 1 (2024); 155-166 Revista da Faculdade de Ciências Médicas de Córdoba; v. 81 n. 1 (2024); 155-166 1853-0605 0014-6722 10.31053/1853.0605.v81.n1 spa https://revistas.unc.edu.ar/index.php/med/article/view/43231/44722 https://revistas.unc.edu.ar/index.php/med/article/view/43231/44767 Derechos de autor 2024 Universidad Nacional de Córdoba http://creativecommons.org/licenses/by-nc/4.0 |