Special case in Ho Chi Minh City published in European cardiovascular journal

A 67-year-old male patient in Ho Chi Minh City who suffered from both acute myocardial infarction and acute cerebral hemorrhage was saved by a “time-buying” coronary intervention method. This is a rare case, recently published in the European Heart Journal – Case Reports, a medical journal of the European Society of Cardiology (ESC).

On September 13, Dr. Le Duy Lac, Head of the Interventional Cardiology Unit, Department of Cardiovascular Resuscitation, Thu Duc General Hospital, said that the case report was approved for publication after 8 months of international review and evaluation. The article is also available on the PubMed database of the US National Institutes of Health (NIH), allowing global experts to consult it.

Special case report of Thu Duc General Hospital. Photo: BVCC

According to Dr. Le Duy Lac, the patient had a history of high blood pressure and was admitted to the hospital with impaired consciousness and weakness in the right side of his body. MRI results confirmed an acute cerebral hemorrhage. One hour later, the patient suddenly had difficulty breathing, low blood pressure, and a slow pulse. An electrocardiogram showed an acute ST-elevation myocardial infarction with a third-degree atrioventricular block.

The biggest difficulty is that the two diseases have opposite treatment regimens: myocardial infarction requires anticoagulants and antiplatelets, while cerebral hemorrhage is contraindicated. Faced with this "life-threatening" situation, the cardiovascular and neurology team chose coronary intervention without stent placement, only balloon angioplasty and thrombus aspiration, without anticoagulants to both save the heart and limit the risk of more severe cerebral hemorrhage. After 3 days, when the brain is stable, the doctor will place a stent with the support of intravascular ultrasound.

A cardiovascular intervention at Thu Duc General Hospital

According to Dr. Vu Tri Thanh, Director of Thu Duc General Hospital, this success not only saved the patient's life but also contributed valuable scientific data, supplementing the world's medical literature on the treatment of rare cases of cardiovascular and neurological co-morbidities. This is also proof that scientific research is one of the hospital's seven core tasks.

GIAO LINH

Source: https://www.sggp.org.vn/ca-benh-dac-biet-tai-tphcm-duoc-dang-tren-tap-chi-tim-mach-chau-au-post812839.html