[Intravascular ultrasound-guided diagnosis after transmural anterior ischemia and cardiogenic shock].
Acute coronary syndrome, if complicated by cardiogenic shock, has a high mortality. Urgent coronary angiography is important for decision of therapy. The present paper reports on a patient without angiographically high grade stenosis after thrombolysis. The intravascular ultrasound examination (IVUS) was important for diagnosis of ruptured plaque of the left main stem. Therapy options are discussed.
Lüdorff
G
G
Schüchtermann-Klinik, Herzzentrum Osnabrück-Bad Rothenfelde, Ulmenallee 11, 49214 Bad Rothenfelde, Germany. guido_luedorff@yahoo.de
Franz
N
N
Thale
J
J
Warnecke
H
H
D000368:Aged; D017023:Coronary Angiography; D004562:Electrocardiography; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D009203:Myocardial Infarction / Q000000981:diagnostic imaging* / Q000601:surgery; D009204:Myocardial Revascularization; D012770:Shock, Cardiogenic / Q000175:diagnosis*; D013997:Time Factors; D018084:Ultrasonography, Interventional