title: "Of coronary arteries and men": the fight of a dialysis patient against his coronary arteries.
abstract: Acute myocardial infarction (AMI) in dialysis patients is associated with high mortality rate. Large randomized controlled trials documenting the benefits of revascularization in the general population have excluded chronic dialysis patients. Few observational data suggest that revascularization may provide a survival benefit compared with medical treatment alone also in these patients. We report a case of a dialysis patient who survived five documented AMIs, underwent five coronary angiographies in 11 years, had several episodes of angina pectoris and underwent percutaneous transluminal coronary angioplasty (PTCA) with stenting and heart surgery for coronary bypassing. It represents a highly unusual therapeutic approach and might contribute to support also in dialysis patients the use of revascularization to improve survival.
authors: Department of Medicine (DIMED), Nephrology and Internal Medicine, University of Padova , Italy and.
authors: Ugo
authors: U
authors: Vertolli
authors: Claudio
authors: C
authors: Vinci
authors: Mirca
authors: M
authors: Rebeschini
authors: Annamaria
authors: A
authors: Ruffatti
authors: Giuseppe
authors: G
authors: Scaparrotta
authors: Massimo
authors: M
authors: Napodano
authors: Agostino
authors: A
authors: Naso
authors: Lorenzo A
authors: LA
authors: Calò
mesh_terms: D000787:Angina Pectoris / Q000150:complications; D015906:Angioplasty, Balloon, Coronary; D017023:Coronary Angiography; D001026:Coronary Artery Bypass; D003928:Diabetic Nephropathies / Q000150:complications / Q000628:therapy; D006801:Humans; D008297:Male; D008875:Middle Aged; D009203:Myocardial Infarction / Q000150:complications / Q000000981:diagnostic imaging / Q000628:therapy*; D012008:Recurrence; D006435:Renal Dialysis; D051436:Renal Insufficiency, Chronic / Q000150:complications / Q000628:therapy; D015607:Stents