Reference no: EM133686425

Question

The 88-year-old female patient was transferred from another hospital for treatment of an acute anterior myocardial infarction. She also suffers from hypercholesterolemia and benign hypertension. She claims that she no longer has chest pain and would like to go home. However, the physicians did convince her to stay and undergo further tests to ascertain the degree of heart damage. She unwillingly agreed to a left heart catheterization, aortogram w/low osmolar fluoroscopy, coronary angiography, and left ventriculogram. However, she did stipulate that was all that was to be done. This catheterization determined the problem - CAD of three of the coronary arteries with the greatest occlusion at the bifurcation of the left anterior descending and the left diagonal artery. When the physicians told her that this could be repaired with the PTCA, the elderly patient agreed. The PTCA was performed the next day with no complications. Angioplasty was performed on the RCA, the LAD, and the diagonal branch. Three drug-eluting stents were placed at the bifurcation of the LAD and diagonal with two in the LAD and one in the diagonal. The patient was discharged home three days later, claiming that she hadn't felt that healthy in years.