ABSTRACT
En la actualidad, las indicaciones y alcances de la cardiología intervencionista permiten que cada vezmás pacientes puedan ser revascularizados mediante intervenciones coronarias percutáneas. Es esencial para los médicos que están en contacto o tienen a su cargo el cuidado de estos pacientes conocer los beneficios, características y riesgos del procedimiento. En este trabajo revisamos los conceptos generales actuales de la angioplastía coronaria.
At present, new indications and frontiers of interventional cardiology led to percutaneous treatment of a wide spectrum of patients who require myocardial revascularization. The physician must understand the potential benefits, procedural characteristics, andrisks of percutaneous coronary intervention. In this paper, we review general concepts concerning coronary angioplasty.
Subject(s)
Humans , Angioplasty, Balloon, Coronary , Coronary Disease/surgery , Angioplasty, Balloon, Coronary/adverse effects , Angioplasty, Balloon, Coronary/instrumentation , Drug Delivery Systems , Equipment Design , Postoperative Complications/prevention & control , StentsABSTRACT
Acute noncardiogenic pulmonary edema and catecholamine-induced cardiomyopathy as the first presentations of pheochromocytoma are uncommon events, but usually rapidly fatal. A 36-year-old man presented acute pulmonary edema in a setting of hypertensive emergency after arthroscopy, later developing catecholamine-induced cardiotoxicity mimicking an acute myocardial infarction, with elevation of cardiac damage markers, normal coronary arteries, and with full recovery from electrical abnormalities. Magnetic resonance imaging revealed a right adrenal mass. Elevated levels of catecholamines and metanephrines, and a positive 131I-metaiodobenzylguanidine scan confirmed a pheochromocytoma. Once the patient had been hemodynamically stabilized, he was successfully operated.
Subject(s)
Adrenal Gland Neoplasms/complications , Heart Diseases/etiology , Pheochromocytoma/complications , Pulmonary Edema/etiology , Acute Disease , Adrenal Gland Neoplasms/metabolism , Adult , Catecholamines/metabolism , Diagnosis, Differential , Heart Diseases/diagnosis , Humans , Male , Myocardial Infarction/diagnosis , Myocardial Infarction/etiology , Pheochromocytoma/metabolismABSTRACT
At present, new indications and frontiers of interventional cardiology led to percutaneous treatment of a wide spectrum of patients who require myocardial revascularization. The physician must understand the potential benefits, procedural characteristics, and risks of percutaneous coronary intervention. In this paper, we review general concepts concerning coronary angioplasty.
