CHARACTERISTICS OF LEFT ANTERIOR DESCENDING (LAD) ARTERY LESIONS IN PATIENTS WITH ACUTE CORONARY SYNDROME UNDERGOING PERCUTANEOUS CORONARY INTERVENTION AT CAN THO GENERAL HOSPITAL
Main Article Content
Abstract
Background: Acute coronary syndrome is the leading cause of cardiovascular death. Severe damage to the left anterior descending artery can cause cardiogenic shock. Coronary intervention in patients with acute coronary syndrome plays an important role in reducing mortality and complications of the disease. Objectives: Survey of anterior interventricular artery lesion characteristics in patients with acute coronary syndrome before and after intervention. Materials and methods: Cross-sectional descriptive study with analysis on 85 patients with acute coronary syndrome who underwent anterior interventricular artery lesion imaging and intervention at Can Tho City General Hospital. Results: Hypertension and dyslipidemia are two major risk factors for coronary artery disease. Most patients underwent anterior interventricular artery lesion with local anesthetic of the radial artery. After the intervention, the rate of TIMI 3 patients increased 1.7 times and hypotension was the most common cardiovascular complication during and after anterior interventricular artery lesion. Conclusion: Coronary artery intervention at the anterior interventricular artery lesion position improves TIMI flow and restores reperfusion in patients with acute coronary syndrome.
Article Details
Keywords
Anterior interventricular artery, Acute coronary syndrome
References
2. Trần Hòa (2020), Nghiên cứu mối liên quan giữa kiểu gen giảm chức năng CYP2C19*2,*3 và tiên lượng ở bệnh nhân được can thiệp đặt stent động mạch vành có điều trị Clopidogrel, Luận án tiến sĩ Y học. Đại học Y Dược Tp. Hồ Chí Minh.
3. Phạm Thị Thảo Trang và Trần Viết An (2020), "Nghiên cứu giá trị của nồng độ NT- proBNP huyết thanh trong tiên đoán rối loạn chức năng tâm thu thất trái ở bệnh nhân nhồi máu cơ tim cấp", Tạp chí Y học Cần Thơ, 28, tr.45-51.
4. Sibbing D, Stegherr J (2009), "Cytochrome P450 2C19 loss-of- function polymorphism and stent thrombosis following percutaneous coronary intervention", Eur Heart J, 30 (8), pp.916-922.
5. Huỳnh Trung Cang (2014), "Kết quả 2 năm can thiệp động mạch vành qua da tại bệnh viện đa khoa Kiên Giang", Tim Mạch Học Việt Nam.
6. Gary Tackling, Mahesh B, Borhade (2021), “Hypertensive Heart Disease”, StatPearls Publishing.
7. Sahadeb Prasad Dhungana (2020), “Prevalence of Dyslipidemia in Patients with Acute Coronary Syndrome Admitted at Tertiary Care Hospital in Nepal: A Descriptive Cross-sectional Study”, JNMA J Nepal Med Assoc.
8. Mahesh KumarBatra (2020), “Radial or femoral access in primary percutaneous coronary intervention (PCI): Does the choice matters?”, Indian Heart Journal.
9. Connor B Weir, Arif Jan (2021), “BMI Classification Percentile And Cut Off Points”, StatPearls Publishing.