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  • 82 ans - Référé par centre régional pour angor crescendo depuis quelques semaines
  • ATCD médicaux
    • Cardiomyopathie ischémique objectivée (02/2018) – lésions sévères a/n Cx proximale et distale, englobant 1e marginale et CD proximale et distale
    • Tentative de revascularisation CD mais décision d’opter pour optimisation du Tx médical
    • Dyslipidémie, hypertension artérielle, diabète non insulino-traité
  • Échographie cardiaque de repos (02/2018)
    • FeVG préservée, VG légèrement hypertrophique, VD normal, absence de valvulopathies
  • ECG repos
    • Rythme sinusal, FC 70/min, absence de trouble de la repolarisation
  • Biologie
    • Hb 11.9 g/l, Plt 234.000, Créat 11.8 mg/l (ClCr 56 ml/min), ProBNP 121 pg/ml, Tropo 28 mg/l
  • Traitement médical
    • Kardegic 75 mg OD, Clopidogrel 75 mg OD, Cotareg 160/25 mg OD, Atenolol 100 mg OD, amlodipine 5 mg OD, Trinitrine Patch, gliclazide 30 mg OD, Metformine 850 mg TID
Shooting date : 2018-04-12
Last update : 2018-05-22

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Le choix des armes contre les lésions calcifiées

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