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  • 65 ans - Référé pour tachycardie ventriculaire avec multiples chocs par défibrillateur
  • Patient asymptomatique mais 3 épisodes de chocs électriques sur TV probable
  • ATCD médicaux
    • Cardiomyopathie ischémique – SCA (2004) avec dysfonction VG sévère
    • Resynchronisation / implantation BiV + défibrillateur
    • Remplacement boitier 2012
    • FA chronique anticoagulée
    • Dyslipidémie, tabagisme ancien
    • IRC modérée
    • HypoT4
  • Échographie cardiaque (03/2018)
    • FeVG 30-35%, DTDVG 69 mm, akinésie inféro-latérale, IM 2/4, dilatation bi-auriculaire, PAP normale
  • ECG repos
    • Fibrillation auriculaire, rythme électro-entrainé
  • Biologie
    • Hb 16.0 g/l, Plt 239.000, créat 17.4 mg/l (ClCr 41 ml/min), ProBNP 2511 pg/ml, Tropo -
  • Traitement médical
    • Kardegic 75 mg OD, amiodarone 200 mg OD, ramipril 5 mg BID, furosémide 250 mg BID, bisoprolol 5 mg BID, Previscan, Pravastatine 20 mg OD, Aldactone 25 mg OD, Diffu K, Levothyroxine, Pantoprazole
Shooting date : 2018-04-12
Last update : 2018-05-28

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Antegrade wiring in CTO PCI: experience shared by experts

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algorithme décisionnel de la lésion simple à la lésion complexe

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