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  • 83 ans - Référé par son médecin traitant pour récidive d’angor d’effort (CCS 2) depuis quelques semaines
  • ATCD médicaux
    • Cardiomyopathie ischémique – SCA sans sus-décalage ST avec troponines + (2005)
    • ATC 1e marginale (DES) et coronaire droite moyenne et distale (DES x 2)
    • Sténose non significative de l’IVA proximale
    • Dyslipidémie, tabagisme ancien, hérédité
  • Échographie cardiaque à l’effort (02/2018)
    • Sous-maximale (62% Fcmax) E-/C-
    • Absence d’anomalie régionale de la contractilité myocardique, FeVG préservée
  • ECG repos
    • Rythme sinusal, FC 70/min, BBD incomplet
  • Biologie
    • Hb 12.3 g/l, Plt 199.000, Créat 9.6 mg/l (ClCr 73 ml/min), BNP 486 pg/ml, Tropo 22 mg/l 
  • Traitement médical
    • Kardegic 75 mg OD, Tenormine 50 mg OD, Crestor 5 mg OD, Natispray
 
Shooting date : 2018-04-12
Last update : 2018-05-28

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Complex & High-Risk Indicated Procedures

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