Sandbx:rinky: Difference between revisions

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**Presence of mild [[mitral regurgitation]]
**Presence of mild [[mitral regurgitation]]


* [[Coronary angiography|Coronary angiogram]] : posterior
* [[Coronary angiography|Coronary angiogram]] :  
**posterior


descending artery is occluded with [[epicardial]] collateral from the left anterior descending artery.
descending artery is occluded with [[epicardial]] collateral from the left anterior descending artery.
 
**In tmid-right coronary artery, an intimal tear is present with a spontaneous dissecting coronary [[hematoma]]   
In tmid-right coronary artery, an intimal tear is present with a spontaneous dissecting coronary [[hematoma]]   


* Optical coherence tomography ([[Cardiac Optical Coherence Tomography (OCT)|OCT]]):  spontaneous dissecting coronary [[hematoma]] with an intimal rupture of right coronary artery
* Optical coherence tomography ([[Cardiac Optical Coherence Tomography (OCT)|OCT]]):  spontaneous dissecting coronary [[hematoma]] with an intimal rupture of right coronary artery

Revision as of 16:58, 20 July 2020

  • Here is a table presenting symptoms of the reported cases:
Patient Symptoms Past medical history and risk factors Laboratory findings Treatment
55 year old, male admitted due

to

  • fever,
  • cough
  • shortness of breath with suspected COVID-19.
Developed chest pain 48 hrs after admission Peripheral artery disease
  • EKG: Inferior leads shows Inverted T waves.
  • Troponin I : Elevated (355 ng/l --->70 ng/l 3 h later )[normal values <7 ng/l)]

descending artery is occluded with epicardial collateral from the left anterior descending artery.

    • In tmid-right coronary artery, an intimal tear is present with a spontaneous dissecting coronary hematoma
  • Optical coherence tomography (OCT): spontaneous dissecting coronary hematoma with an intimal rupture of right coronary artery
  • Coronary angiogram was planned.
70-year-old, male Severe , persistent chest pain ( 8/10), which started 3 hrs before admission Smoking, Hypertension, and Type 2 diabetes,

H/O percutaneous coronary intervention (PCI) with implantation of a drug-eluting stent (DES)

  • EKG: precordial leads shows new ST-T abnormalities which was not present previously.
ST-T abnormalities in the precordial leads.


48‐year‐old, female History of severe chest pain that awoke her from sleep,9/10,severe,retrosternal tightness,pain radiates to neck and both arms. Migraine and Hyperlipidemia