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76 y.o man
- Risk Factor : ex smoker, Diabetic , HT , dyslipidemia
- 172 cm/ 78 kg
- Life Style: decreased physical activity because of breathlessness
- Prior history: AMI 1993 ▻LAD stent RCA and Circ : DES 2016
Clinical presentation
- NYHA II
- Acute pulmonary oedema 6 month ago
- No angina
- No syncope
- ECG : CRTP : sinus Rythm , QRS= 90ms
Laboratory Investigations
- Hb= 14,5 g/dl
- Creatinine = 81 µmol/l
- Creatinine Clearance = 80
- CRP=3,4 mg/l
- BNP = 650
Trans thoracic echo
- Aortic stenosis AVA = 0,83
- Mean Grad 15mmHg
- LEVF:34%
- Diffuse hypokinesia.
- No aortic leak
- SPAP= 35 mmHg
Risk Evaluation
- Logistic Euroscore : 11%
- Euroscore II : 8,2%
- STS score : 14,3%
- High risk patient…
- Heart Team decision: TAVI
Shooting date : 2018-04-05
Last update : 2021-06-09
Last update : 2021-06-09
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