RESUMO
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.
Assuntos
Humanos , Angioplastia Coronária com Balão , Doença das Coronárias/cirurgia , Angioplastia Coronária com Balão/efeitos adversos , Angioplastia Coronária com Balão/instrumentação , Sistemas de Liberação de Medicamentos , Desenho de Equipamento , Complicações Pós-Operatórias/prevenção & controle , StentsRESUMO
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.
Assuntos
Neoplasias das Glândulas Suprarrenais/complicações , Cardiopatias/etiologia , Feocromocitoma/complicações , Edema Pulmonar/etiologia , Doença Aguda , Neoplasias das Glândulas Suprarrenais/metabolismo , Adulto , Catecolaminas/metabolismo , Diagnóstico Diferencial , Cardiopatias/diagnóstico , Humanos , Masculino , Infarto do Miocárdio/diagnóstico , Infarto do Miocárdio/etiologia , Feocromocitoma/metabolismoRESUMO
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.
