A Case Report of 80-Year-Old Male with Total Atrioventricular Block, Acute Decompensated Heart Failure, and Non-ST-Elevation Myocardial Infarction Very High Risk: A Complicated Case in Limited Resources Setting

Bioscientia Medicina : Journal of Biomedicine and Translational Research Pub Date : 2024-05-10 DOI:10.37275/bsm.v8i7.1033

Ni Kadek, Putri Wulandari, Putu Sukma Parahita

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Abstract

Background: Cardiovascular disease is still a major problem globally, with high morbidity and mortality rates. The progression of cardiovascular disease is so dynamic that it can leave the patient in a terminal condition. Given the high mortality and morbidity accompanied by rapid disease progression, understanding the appropriate management of each patient with comorbid heart disease is very important. Case presentation: We report an 80-year-old male with TAVB (Total Atrioventricular Block), ADHF (Acute Decompensated Heart Failure), and NSTEMI (Non-ST-Elevation Myocardial Infarction). The patient was treated and stabilized intensively in our center based on protocol. Due to the rapid progression of the disease, we referred the patient to the tertiary hospital in Bali for further advanced treatment. Conclusion: The mortality rate in cases of cardiovascular diseases is relatively high, requiring rapid and adequate treatment to provide better clinical outcomes.

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80 岁男性全房室传导阻滞、急性失代偿性心力衰竭和非 ST 段抬高型心肌梗死极高风险病例报告：资源有限情况下的复杂病例

背景：心血管疾病仍然是全球的一个主要问题，发病率和死亡率都很高。心血管疾病的进展非常迅速，有可能使患者陷入绝境。由于疾病进展迅速，死亡率和发病率都很高，因此，了解如何适当管理每一位合并心脏病的患者非常重要。病例介绍：我们报告了一名患有 TAVB（全房室传导阻滞）、ADHF（急性失代偿性心力衰竭）和 NSTEMI（非 ST 段抬高型心肌梗死）的 80 岁男性患者。患者在本中心接受了重症治疗，病情稳定。由于病情进展迅速，我们将患者转至巴厘岛的三级医院接受进一步的高级治疗。结论心血管疾病病例的死亡率相对较高，需要快速、充分的治疗才能获得更好的临床效果。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Bioscientia Medicina : Journal of Biomedicine and Translational Research

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