1CORONARYECTASIAppt課件.1CORONARYECTASIAppt課件.2Age:65yearsoldChiefcomplaint:chestpainfor1dayAdmittedonNov6th,2015Pasthistory:hypertentionfor3years(poolcontrol),nosmokingordrinkingPATIENTDEMOGRAPHICSGender:femaleppt課件.2Age:65yearsoldChiefcompl3DomesticargumentmakesymptomsworseECG:leadsV1-4ST-Tsegmentchanges,Tn0.07ng/ml,CKMB18.79U/LEcho:LVD52mm,LA35mm,LVEF68%PRESENTILLNESSChestpainaccompaniedbybackpainandheadacheppt課件.3Domesticargumentmakesympto42023/1/24CORONARYECTASIACIT2016ppt課件.42022/12/274CORONARYECTASIACI5CORONARYECTASIACIT2016DIAGNOSISUnstableanginaHypertentionHyperlipidaemiaCoronaryarterydiseaseppt課件.5CORONARYECTASIACIT2016D6CORONARYECTASIACIT2016MEDICATIONRosuvastatin10mgqn,Ezetimibe10mgqdPerindopril4mgqd

Aspirin0.1qd,Ticargrelor90mg

bidTrimetazidine20mgtidppt課件.6CORONARYECTASIACIT201672023/1/27CORONARYECTASIACIT2016CAGNov9th

LAD:proximal-ectasiamiddle-poolcontrastagentfillingppt課件.72022/12/277CORONARYECTASIACI82023/1/28CORONARYECTASIACIT2016CAGNov9th

LAD:proximal-ectasiamiddle-poolcontrastagentfillingLCX:noobviousabnormalitiesppt課件.82022/12/278CORONARYECTASIACI92023/1/29CORONARYECTASIACIT2016ppt課件.92022/12/279CORONARYECTASIACI102023/1/210CORONARYECTASIACIT2016IVUS

Nov9th

ppt課件.102022/12/2710CORONARYECTASIA112023/1/211CORONARYECTASIACIT2016IVUSinjectedwithsaline

LAD:intramuralhematomasintimaldissectionintimalcalcificationsppt課件.112022/12/2711CORONARYECTASIA122023/1/212CORONARYECTASIACIT2016IVUS

intramuralhematomasNSinjectionIntimaldissectionppt課件.122022/12/2712CORONARYECTASIA13CORONARYECTASIACIT2016DISCHARGENov13th

Rosuvastatin10mgqn,Ezetimibe10mgqdPerindopril4mgqd

Aspirin0.1qd,Clopidogrel75mgqdTrimetazidine20mgtidppt課件.13CORONARYECTASIACIT201614CORONARYECTASIACIT2016FOLLOWUPDec13th

Rosuvastatin10mgqn,Ezetimibe10mgqdPerindopril4mgqd

Aspirin0.1qd,Clopidogrel75mgqdTrimetazidine20mgtidNochestpain,goodemotionalcontrolppt課件.14CORONARYECTASIACIT201615CIT2016DISCUSSIONspontaneouscoronaryarterydissection(SCAD)traditionalgoldstandard:CAGnowadays:intracoronaryimaging-OCTorIVUS-improvesthediagnosisIVUSacompletevesselvisualizationandassessmentmorphometricinformationsabouttheunderlyinghematomaCORONARYECTASIAppt課件.15CIT2016DISCUSSIONspontaneo16CIT2016DISCUSSIONtheunderlyingpathogenicmechanismofthecoronaryhematoma[1-2]intramuralhemorrhagedisruptionofthevasavasorumCausesanalysis[3]femalesexhormonelevelalterationshemodynamicstressandshearingstresssmokingandhypertentioninourcase,thepatientwasspontaneouscoronarydissection,hemodynamicallystableandchestpainrelieved,noongoingischemia,therefore,aconservativetreatmentstrategywaschosen.CORONARYECTASIA[1]MortensenKH,ThuesenL,KristentenIB,etal.Spontaneouscoronaryarterydissection:aWesternDenmarkHeartRegistryStudy.CatheterCardiovascInterv2009;74:710-7[2]VrintsCJ.Spontaneouscoronaryarterydissenction.Heart010;96:801-8[3]TweetMS,HayesSN,PittaSR,etal.Clinicalfeatures,managementandprognosisofspontaneouscoronaryarterydissection.Circulation2012;126:579-88ppt課件.16CIT2016DISCUSSIONtheunder17CIT2016ppt課件.17CIT2016ppt課件.此課件下載可自行編輯修改，供參考！感謝您的支持，我們努力做得更好！此課件下載可自行編輯修改，供參考！19CORONARYECTASIAppt課件.1CORONARYECTASIAppt課件.20Age:65yearsoldChiefcomplaint:chestpainfor1dayAdmittedonNov6th,2015Pasthistory:hypertentionfor3years(poolcontrol),nosmokingordrinkingPATIENTDEMOGRAPHICSGender:femaleppt課件.2Age:65yearsoldChiefcompl21DomesticargumentmakesymptomsworseECG:leadsV1-4ST-Tsegmentchanges,Tn0.07ng/ml,CKMB18.79U/LEcho:LVD52mm,LA35mm,LVEF68%PRESENTILLNESSChestpainaccompaniedbybackpainandheadacheppt課件.3Domesticargumentmakesympto222023/1/222CORONARYECTASIACIT2016ppt課件.42022/12/274CORONARYECTASIACI23CORONARYECTASIACIT2016DIAGNOSISUnstableanginaHypertentionHyperlipidaemiaCoronaryarterydiseaseppt課件.5CORONARYECTASIACIT2016D24CORONARYECTASIACIT2016MEDICATIONRosuvastatin10mgqn,Ezetimibe10mgqdPerindopril4mgqd

Aspirin0.1qd,Ticargrelor90mg

bidTrimetazidine20mgtidppt課件.6CORONARYECTASIACIT2016252023/1/225CORONARYECTASIACIT2016CAGNov9th

LAD:proximal-ectasiamiddle-poolcontrastagentfillingppt課件.72022/12/277CORONARYECTASIACI262023/1/226CORONARYECTASIACIT2016CAGNov9th

LAD:proximal-ectasiamiddle-poolcontrastagentfillingLCX:noobviousabnormalitiesppt課件.82022/12/278CORONARYECTASIACI272023/1/227CORONARYECTASIACIT2016ppt課件.92022/12/279CORONARYECTASIACI282023/1/228CORONARYECTASIACIT2016IVUS

Nov9th

ppt課件.102022/12/2710CORONARYECTASIA292023/1/229CORONARYECTASIACIT2016IVUSinjectedwithsaline

LAD:intramuralhematomasintimaldissectionintimalcalcificationsppt課件.112022/12/2711CORONARYECTASIA302023/1/230CORONARYECTASIACIT2016IVUS

intramuralhematomasNSinjectionIntimaldissectionppt課件.122022/12/2712CORONARYECTASIA31CORONARYECTASIACIT2016DISCHARGENov13th

Rosuvastatin10mgqn,Ezetimibe10mgqdPerindopril4mgqd

Aspirin0.1qd,Clopidogrel75mgqdTrimetazidine20mgtidppt課件.13CORONARYECTASIACIT201632CORONARYECTASIACIT2016FOLLOWUPDec13th

Rosuvastatin10mgqn,Ezetimibe10mgqdPerindopril4mgqd

Aspirin0.1qd,Clopidogrel75mgqdTrimetazidine20mgtidNochestpain,goodemotionalcontrolppt課件.14CORONARYECTASIACIT201633CIT2016DISCUSSIONspontaneouscoronaryarterydissection(SCAD)traditionalgoldstandard:CAGnowadays:intracoronaryimaging-OCTorIVUS-improvesthediagnosisIVUSacompletevesselvisualizationandassessmentmorphometricinformationsabouttheunderlyinghematomaCORONARYECTASIAppt課件.15CIT2016DISCUSSIONspontaneo34CIT2016DISCUSSIONtheunderlyingpathogenicmechanismofthecoronaryhematoma[1-2]intramuralhemorrhagedisruptionofthevasavasorumCausesanalysis[3]femalesexhormonelevelalterationshemodynamicstressandshearingstresssmokingandh