Meseguer GD, Melero PJ, Río SS, Revilla MP

Language: Spanish
References: 0
Page: 326-327
PDF size: 882.03 Kb.

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A 51-year-old man, without known allergies and no history of interest, came to his Health Center with non-irradiated, oppressive chest pain and vagal reaction, of 30 minutes’ duration, which started while walking and persisted at rest. An electrocardiogram was performed due to such findings, and he was referred to this hospital for emerging cardiac catheterization. The coronary angiography showed an acute thrombotic occlusion at the level of the proximal left anterior descending artery which was treated with thrombectomy and drugeluting stent implantation. The patient presented torpid evolution, he developed systolic dysfunction and apical aneurysm with thrombus inside, thus, he required –at discharge– dual antiplatelet therapy and anticoagulation. The electrocardiogram is the main diagnostic tool in order to decide what action to take in presence of an acute coronary syndrome at the emergency room, because it allows to identify patients who benefit from urgent revascularization.