Articolul precedent |
Articolul urmator |
423 12 |
Ultima descărcare din IBN: 2024-01-19 19:35 |
SM ISO690:2012 DOGOT, Marta, GRIB, Andrei, GROSU, Mihaela, PORCEREANU, Natalia, POPA, Ana, HARGHEL, Tatiana, CAPROŞ, Natalia. Diagnostic and therapeutic approach of the revascularizd diabetic coronary patient. In: Cercetarea în biomedicină și sănătate: calitate, excelență și performanță, Ed. 1, 20-22 octombrie 2021, Chişinău. Chișinău, Republica Moldova: 2021, p. 114. ISBN 978-9975-82-223-7 (PDF).. |
EXPORT metadate: Google Scholar Crossref CERIF DataCite Dublin Core |
Cercetarea în biomedicină și sănătate: calitate, excelență și performanță 2021 | ||||||
Conferința "Cercetarea în biomedicină și sănătate: calitate, excelență și performanță" 1, Chişinău, Moldova, 20-22 octombrie 2021 | ||||||
|
||||||
Pag. 114-114 | ||||||
|
||||||
Descarcă PDF | ||||||
Rezumat | ||||||
Background. Diabetes mellitus (DM) is associated with an increased risk of coronary heart disease morbidity and mortality. Coronary atherosclerosis is generally more aggressive and widespread in people with diabetes and is frequently asymptomatic. Objective of the study. To describe the particularities of the diagnostic and therapeutic approach of a revascularized diabetic coronary patient Material and Methods. 60-year-old man, disabled gr. II, hospitalized in the Endocrinology department, with type 2 diabetes decompensation, suspicion of cardiogenic shock and non-intensive anginal pain, but which required the use of vasodilators (nitrates: 20mg / 24 hours) at home. The patient was investigated clinically and paraclinically by electrocardiography, echocardiography, angiocoronarography. Results. Known patient with hypertension, chronic atrial fibrillation (AF), DM, old myocardial infarction (MI) and coronary angioplasty on the circumflex artery (Cx) segment III and anterior descending artery (LAD), with implantation of 2 pharmacological stents active (DES). Recently performed angiocoronarography showed bicoronary atherosclerotic lesions: subocclusive critical stenosis on the intermediate artery (IR), stenoses moderate-severe on LAD, and previously implanted stents were patent. At this stage, myocardial revascularization included the placement of 2 DES on IR. He was discharged with the recommendations: insulin therapy, dual antiplatelet therapy, vasodilators, statins. Conclusion. The peculiarities of the presented case are the characteristic of the angina syndrome with weakly expressed pain on the background of uncontrolled type 2 diabetes, the progression of atherosclerosis with the involvement of the coronary artery IR and stents implanted 7 years previously on LAD. |
||||||
Cuvinte-cheie angiocoronarography, revascularization, dual antiplatelet therapy, angiocoronarografie, revascularizare, tratament dublu antiplachetar |
||||||
|