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- W4249341710 abstract "Young patient with a history of smoking, hypertension and use of illicit drugs (cannabis, cocaine and crack) was admitted with precordial pain after physical exercise within the previous two hours. Electrocardiogram demonstrated ST segment elevation in leads V1 to V4 and the patient was referred to cardiac catheterization, which showed total occlusion of the left anterior descending artery and a large amount of thrombi in the right coronary artery. The patient was treated with direct stenting in the left anterior descending artery and triple antiplatelet therapy with aspirin, clopidogrel and abciximab in combination with non-fractioned heparin for 24 hours. Angiography and intravascular ultrasound assessment after 48 hours demonstrated a complete resolution of thrombi in both coronary arteries. Trombose Simultânea em Duas Artérias Coronárias Epicárdicas Durante Infarto Agudo do Miocárdio Paciente jovem, com histórico de tabagismo, hipertensão ar terial e uso de drogas ilícitas (cannabis, cocaína e crack), foi admitido com dor precordial após atividade física, com cerca de duas horas de evolução. O eletrocardiograma demonstrou supradesnivelamento do segmento ST de V1 a V4, e o paciente foi encaminhado para cateterismo cardíaco, que evidenciou oclusão total da artéria descendente anterior e grande quantidade de trombos na coronária direita. Foi tratado com implante direto de stents na artéria descendente anterior e terapia antiplaquetária tripla com aspirina, clopidogrel e abciximab associada a heparina não-fracionada, mantidas por 24 horas. Reavaliações angiográfica e ultrassonográfica após 48 horas demonstraram resolução completa dos trombos em ambas as coronárias." @default.
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- W4249341710 date "2012-01-01" @default.
- W4249341710 modified "2023-10-02" @default.
- W4249341710 title "Simultaneous Thrombosis in Two Epicardial Coronary Arteries During Acute Myocardial Infarction" @default.
- W4249341710 doi "https://doi.org/10.1016/s0104-1843(12)50073-1" @default.
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