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Chapters (2)
Description
Shooting date : 2017-11-24
Last update : 2018-04-24
Language(s) : Français
  • Homme, 83 ans
  • Facteurs de risque :
    H.T.A.
    Dyslipidémie 
    Diabète (non insulino-dépendant)
    Tabagisme sevré
  • Style de vie : Retraité, il vie de manière autonome
  • Antécedents :
    AVC avec aphasie et monoparésie en 09/2010
    Angioplastie+stents actifs bifurcation TC-IVA-CX et IVA 3 en 07/2014
    Angioplastie+stents actifs IVA1 et IVA2 et CDt 2 en 05/2015
    Angioplastie+stent actif de la resténose intrastent du TC en 06/2016
    Angioplastie au ballon actif de la resténose intrastent de l’IVA proximale et moyenne le 24/10/2017
  • Clinical presentation :
    Dyspnée pour des efforts modest en augmentation depuis 6 mois (NYHA II-III)
    Taille: 171, Poids: 61 (IMC: 20)
  • Résultats d'analyses :
    Hb= 13.9 g/dL 
    Creatinine= 80 µmol/L
    Creatinine clearance (MDRD)= 81 ml/min
    NT ProBNP= 3180 
    Troponin Hs= 0.018 ng/L
    CRP= 65.1 ml/L (N<5)
  • Échocardiographie transthoracique :
    Hypertrophie septale modérée
    FE= 42%
    Surface aortique= 0.54 cm2
    Gradient moyen= 38 mmHg
    PAPs= 32 mmHg
  • Scores de risque :
    Logistic Euroscore: 10,32%
    Euroscore II: 8,03%
    STS-score: 4,022%

 

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Des procédures cardiaques structurelles, de près et en perspective

Approche step-by-step

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