Adenosine conditioning and pacing in conjunction with early intra-aortic balloon pump use and glycoprotein IIb/IIIa inhibition to accomplish complete multivessel revascularization in an octogenarian with profound cardiogenic shock.
This report describes the use of intracoronary adenosine and transvenous pacemaker backup as an adjunct to intra-aortic balloon pump use and glycoprotein IIb/IIIa inhibition to accomplish high-risk multivessel coronary angioplasty in an 87-year-old female with profound cardiogenic shock. Myocardial preconditioning may further enhance microvascular perfusion in this critical state.
Hussain
Farrukh
F
Department of Cardiology, Y-3012, St. Boniface General Hospital, Winnipeg MB, Canada, R2H 2A6. farrukh7@mts.net
D000241:Adenosine / Q000627:therapeutic use*; D000369:Aged, 80 and over; D015906:Angioplasty, Balloon, Coronary; D003131:Combined Modality Therapy; D017023:Coronary Angiography; D003331:Coronary Vessels; D005260:Female; D006801:Humans; D007423:Intra-Aortic Balloon Pumping; D019157:Ischemic Preconditioning, Myocardial / Q000379:methods; D009203:Myocardial Infarction / Q000000981:diagnostic imaging / Q000628:therapy; D010138:Pacemaker, Artificial; D019039:Platelet Glycoprotein GPIIb-IIIa Complex / Q000037:antagonists & inhibitors*; D012720:Severity of Illness Index; D012770:Shock, Cardiogenic / Q000000981:diagnostic imaging / Q000628:therapy*; D015607:Stents
D019039:Platelet Glycoprotein GPIIb-IIIa Complex; D000241:Adenosine