ABSTRACT
Caso clínico de Cardiomiopatia Hipertrófica (CMH), que após a introdução do alisquireno, houve regressão da massa do Ventrículo Esquerdo (VE) com remodelamento do VE à custa do aumento da cavidade do VE, associado à diminuição da espessura de suas paredes, com manutenção da função do VE. Também ocorreu desaparecimento do gradiente intraventricular de repouso, e durante o estresse esse gradiente deixou de ser significativo. A análise do Eletrocardiograma (ECG) evidenciou melhora do padrão de repolarização ventricular. De sorte que o paciente foi liberado para realizar atividade física não competitiva e gradual.
Clinical case of Hypertrophic Cardiomyopathy (HCM) that after the introduction of aliskiren, there was regression of the Left Ventricle (LV) mass with LV remodeling at the expense of increased LV cavity, associated with decreased thickness of its walls, with maintenance of LV function. There was also disappearance of the intraventricular gradient at rest and during stress, this gradient was no longer significant. The Eletrocardiogram (EKG) analysis showed improvement in ventricular repolarization pattern. So that the patient was released for non-competitive and gradual physical activity.
Subject(s)
Humans , Male , Adult , Cardiomyopathy, Hypertrophic , Hypertrophy, Right VentricularABSTRACT
OBJECTIVE: To describe the cerebral protection technique used in the angioplasty and stenting to treat stenotic lesions of carotid artery bifurcation, showing its efficiency in avoiding cerebral emboli during the procedure. METHOD: Forty two patients (47 arteries) were treated with the cerebral protection technique, which consists in the temporary occlusion of the internal carotid artery, above the stenotic lesion, performing the aspiration and flushing of glucose solution into the internal carotid artery after the delivery of the stent and the angioplasty, to remove any atherosclerotic plaque's fragments. RESULTS: The angioplasty was efficient in all cases. There were no cerebral emboli in the patients in whom the complete cerebral protection technique was used, showing its efficiency. Distal embolism occurred in one patient, during pre angioplasty and before the use of cerebral protection. CONCLUSION: The cerebral protection technique was efficient to avoid cerebral emboli in the procedures performed. This data is in agreement with the literature and the use of this technique increases the indications of carotid angioplasty.
