Save a man who just had a stroke and then had a heart attack

According to the patient's family, Mr. T. suddenly experienced severe headaches, followed by rambling and incomprehensible speech, leading to his emergency transfer to a hospital in Ho Chi Minh City. There, he was diagnosed with ischemic stroke and underwent successful digital subtraction angiography (DSA) to remove the blood clot. Following the procedure, the patient was conscious and able to eat and drink.

Just when it seemed the danger had passed, Mr. T. unexpectedly experienced shortness of breath and severe restlessness. Based on the clinical test results, doctors diagnosed him with hemorrhagic transformation of cerebral infarction, acute myocardial infarction, and heart failure with reduced EF, on a background of untreated hypertension, type 2 diabetes, and dyslipidemia. After intubation, the patient was transferred to Gia An 115 Hospital.

The prognosis is very poor with many risks.

On April 17th, Dr. Duong Duy Trang, Deputy Director of Gia An 115 Hospital, stated that the patient exhibited signs of cardiogenic shock, heart failure due to acute myocardial infarction, and pneumonia, with a very serious prognosis. Upon admission, doctors immediately administered vasopressors, blood pressure medication, and antibiotics, closely monitored the patient's condition while on mechanical ventilation, and then quickly performed necessary diagnostic tests and consulted with the Cardiology department.

The doctor examines the patient after the procedure.

Clinical findings revealed that the patient suffered from acute myocardial infarction, bilateral coronary artery disease, and 80% coronary artery stenosis... In addition, the patient also had kidney stones, elevated liver enzymes, and gastroesophageal reflux.

"With the coronary artery stenosis, immediate angiography, angioplasty, and stenting are necessary. The difficulty lies in the patient being in a coma, on endotracheal tube, with unstable blood pressure, poor physical condition, and having just suffered a stroke. This presents a significant challenge for the intervention due to the high risk. However, without timely intervention, the patient's life will be threatened," Dr. Trang shared.

Decision to place a stent for the patient.

After intensive resuscitation treatment, the doctors decided to perform coronary angiography, angioplasty, and stenting for the patient. Following the vascular intervention, the doctors further intervened by placing a central venous catheter through the internal jugular vein to continuously monitor hemodynamics and administer medications, fluids, and nutrients to the patient.

Alongside continued intensive medical treatment, doctors also closely monitored cardiovascular conditions, blood pressure, and blood sugar control. As a result, the patient's condition improved and recovered well. The endotracheal tube was successfully removed, vital signs gradually stabilized, and the patient was discharged home.

Dr. Duong Duy Trang advises that for patients with underlying conditions such as hypertension, high cholesterol, and diabetes, treating and controlling blood pressure, blood sugar, and cholesterol is crucial to prevent cardiovascular diseases and dangerous health complications. If risk factors are present, patients should pay special attention to regular check-ups and screenings, and maintain a healthy lifestyle to prevent disease.

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