clinical follow up of cit 2009 live case shenyang northern hospital wang shouli han yalin
TRANSCRIPT
Case 1
Male, 68 yrs
Chest pain for 3 m, get worse for 5 days 2009-03-08
RF: HT 8 yrs, DM 8 yrs, cerebral infarc 8 yrs
ECG: ST v3-6 ↓, T v3-6 ↓
UCG: MI(mild), LA 50 mm, LV 52 mm, EF 84%,FS 0.46
Fasting Glu: 5.34 mmol/L,Lipid: normal
DIA:UAP,NYHA 2 degree; HT; DM (type 2)
Angiography(2009-01-09,other hospital):
pro-LAD 90%, pro-LCX 20%,dis-LCX 50%,
mid-RCA 70%
Refuse CABG!2009-03-19(CIT 2009):Triple vessel disease
Case 1
Clinical Follow Up
• The patient was OK in 1, 3, 6
month after PCI by telephone
follow up
• Died of heart failure in 2010-03-05
Case 2
• Male, 53 yrs• Chest pain for 5 yrs, get worse for 2 days
2009-02-23• RF: HT 10 yrs, DM 1 yr• PCI: primary PCI(2006-01-09):LAD F.B.
3.0/33 mm , AMI ( inferior ) • Fasting Glu: 5.12 mmol/L, Lipid: normal• DIA: OMI (inferior), UAP, NYHA 2 degree;
HT, DM (type 2)
Clinical Follow Up
• No chest pain
• Refuse to check angiography
because his wife suffer from
cancer