The case is reported of a 77-year-old man with a resuscitated cardiac arrest caused by an anterior acute myocardial infarction who underwent thrombolysis with streptokinase. Although coronary angiography revealed three-vessel disease with good distal vessels suitable for surgical revascularization, the patient refused to undergo the operation. He remained symptomatic on conventional medical therapy for about 14 months when, because of his poor compliance with his treatment and progression of the coronary artery disease, his cardiac symptoms became more frequent, reducing his quality of life. Cardiac rehabilitation and high-dose trimetazidine (120 mg/day) were used as additional means of optimizing his medical treatment, achieving a progressive relief of symptoms and an improvement in his quality of life, with good compliance.
You are never too old
Vitale C.
2007-01-01
Abstract
The case is reported of a 77-year-old man with a resuscitated cardiac arrest caused by an anterior acute myocardial infarction who underwent thrombolysis with streptokinase. Although coronary angiography revealed three-vessel disease with good distal vessels suitable for surgical revascularization, the patient refused to undergo the operation. He remained symptomatic on conventional medical therapy for about 14 months when, because of his poor compliance with his treatment and progression of the coronary artery disease, his cardiac symptoms became more frequent, reducing his quality of life. Cardiac rehabilitation and high-dose trimetazidine (120 mg/day) were used as additional means of optimizing his medical treatment, achieving a progressive relief of symptoms and an improvement in his quality of life, with good compliance.I documenti in IRIS sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.
