An Elderly Case of Ischemic Cardiomyopathy With Successful Improvement in Left Ventricular Function After Percutaneous Transluminal Coronary Angioplasty
Year: 1997
Type: article
Study design: Case Report
Abstract: A 76-year-old woman was admitted to our hospital because of dyspnea and \npalpitation. A 12-lead EGG showed ventricular premature beats, but no evidence of old or \nnew myocardial infarction. Chest X-ray showed pulmonary congestion and an increased \ncardio-thoracic ratio. Echocardiogram showed severe left ventricular chamber dilatation \nand diffuse hypokinesis of the left ventricular wall. The results of these noninvasive \ndiagnostic procedures suggested dilated cardiomyopathy. On the twelfth hospital day, the \npatient developed chest pain with increased serum creatinine phosphokinase. Emergency \ncardiac catheterization was performed, and severe three-vessel disease was revealed. \nStaged PTCA was performed for all three vessels. One month after complete revascularization of the three vessels, the left ventriculography showed that left ventricular ejection \nfraction had improved to 49 % from 26 % at admission. In elderly patients with severe \ngeneralized poor left ventricular wall motion, in whom ischemic cardiomyQpathy rather \nthan dilated cardiomyopathy can be ruled out, PTCA should be considered as a treatment \nmodality.
Language: English
Subfield: Radiology, Nuclear Medicine and Imaging
Field: Medicine
Domain: Health Sciences
Open Access status: green
OpenAlex ID: W593545355