SHERIF WAGDY AYAD SRG Ass. Lecturer of cardiology Alexandria ...

ePAPER READ

DOWNLOAD ePAPER

egmedicals.com

Create successful ePaper yourself

Turn your PDF publications into a flip-book with our unique Google optimized e-Paper software.

START NOW

• The patient was admitted to CCU & receivedAspirin 150mgclopidogrel loading 600mg followed by 75 mg.LMWHglycoprotein IIB/IIIA inhibitors• After 24 hours no resolution <strong>of</strong> chest pain or ECGchanges.• The patient was referred to cath. lab.Coronary angiography• LMCA: Normal bifurcating into LAD, LCX.• LAD: Proximal tight lesion with 95% stenosis followedby another mid to distal lesion with 90% stenosis &TIMI II distal flow.• LCX: Proximal atherosclerotic plaque with nosignificant lesion.• RCA: Mid RCA lesion with 50% stenosis & good distalRCA: Mid RCA lesion with 50% stenosis & good distalflow