多血管患者的诊断和治疗算法-病例报告

IF 0.8 Q4 CARDIAC & CARDIOVASCULAR SYSTEMS
A. Magdás, Z. Szász, Andrea Mária Kalapács
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引用次数: 0

摘要

摘要简介:动脉粥样硬化是动脉狭窄的主要原因,多累及下肢动脉。动脉粥样硬化性疾病表现为多个部位,包括颈动脉、锁骨下动脉、冠状动脉和肾动脉。狭窄的严重程度并不总是与症状相关。病例报告:我们报告一例多部位动脉粥样硬化性疾病患者。一位70岁男性吸烟者,有心肌梗死和肾动脉狭窄病史,在急诊科就诊,主诉眩晕、胸痛和间歇性跛行。诊断和治疗算法是一个挑战。影像学检查显示动脉粥样硬化病变位于新的血管区域,累及左侧锁骨下动脉,狭窄率为70%。结论:锁骨下动脉狭窄可能是一种隐匿的动脉粥样硬化疾病,往往无法被诊断出来,需要紧急介入治疗,并可通过测量双臂血压等简单工具轻松发现。有动脉粥样硬化病变的患者必须接受多部位动脉粥样硬化疾病的全面筛查。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Diagnostic and Treatment Algorithm in a Plurivascular Patient – Case Report
Abstract Introduction: Atherosclerosis represents the main cause of arterial stenosis, mostly affecting the arteries of the lower extremities. Atherosclerotic arterial disease presents multiple localizations, including the carotid, subclavian, coronary, and kidney arteries. The severity of the stenosis does not always correlate with the symptomatology. Case report: We present the case of a patient with multisite atherosclerotic disease. A 70-year-old smoker male patient, with a history of myocardial infarction and renal artery stenosis, presented in the emergency department complaining of vertigo, chest pain, and intermittent claudication. The diagnostic and treatment algorithm represented a challenge. Imaging assessment showed atherosclerotic lesions in a new vascular territory, which involved the left subclavian artery with a stenosis of 70%. Conclusions: Subclavian artery stenosis can be a hidden form of atherosclerotic disease, often undiagnosed, which needs urgent interventional treatment and can be easily unmasked using simple tools such as measuring the blood pressure on both arms. Patients with athero-sclerotic lesions must undergo comprehensive screening for multisite atherosclerotic disease.
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