A Case Report of Successful Fibrinolysis in a Multiple Coronary Ectasia ST-segment Elevation Myocardial Infarction Validated by Coronary Angiography

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dc.contributor.authorAlTaweel, Muneeraen_US
dc.contributor.authorAlSulaiman, Sarahen_US
dc.contributor.authorAlMukhaylid, Sarahen_US
dc.contributor.authorMemon, Fahaden_US
dc.contributor.authorAlAnazi, Faisalen_US
dc.contributor.authorGado, Waleeden_US
dc.contributor.authorNaseef, Tareken_US
dc.contributor.authorAlMakhayitah, Munirahen_US
dc.contributor.authorAlokifi, Mohannaden_US
dc.contributor.authorAlazmi, Abdulazizen_US
dc.contributor.authorAlismail, Asmaen_US
dc.contributor.authorAlsultan, Nadaen_US
dc.date.accessioned2023-07-21T11:29:21Z
dc.date.available2023-07-21T11:29:21Z
dc.date.issued2022-05
dc.description.abstractCoronary artery ectasia (CAE) often presents in the form of an acute coronary syndrome (ACS) caused by slow blood flow leading to thrombus formation in ectatic coronary arteries. The usual approach is thrombectomy with intracoronary thrombolysis but often does not guarantee immediate blood flow. A 45-year-old male presented with anginal chest pain and was diagnosed with ST-segment elevation myocardial infarction (STEMI), managed Immediately with tissue plasminogen activator(t-PA) followed later with coronary angiography revealing diffused Multiple coronary ectasia MCEA with no identified culprit lesions afterward. The patient was followed up periodically, with favorable outcomes on daily aspirin, direct oral anticoagulant (DOAC), and guideline-directed medical therapy (GDMT) for coronary artery disease (CAD) and reduced ejection fraction heart failure (HF-rEF). This case management strategy was dictated by available resources at the time of presentation; however, it signifies the importance and favorable outcome of thrombolysis in CEA/STEMI patients. Future large-scale studies are required toward defining the duration as well as the choice of long-term anticoagulation.en_US
dc.identifier.affiliationsKing Abdulaziz Hospital, MNGHA, Al Ahsa, Saudi Arabiaen_US
dc.identifier.affiliationsKing Abdullah International Medical Research Center (KAIMRC), Al Ahsa, Saudi Arabiaen_US
dc.identifier.affiliationsCollege of Applied Medical Sciences (CoAMS-A), King Saud Bin Abdulaziz University for Health Sciences -KAIMRC/ KAH, National Guard Health Affairs, Al-Ahsa, Saudi Arabia.en_US
dc.identifier.citationAlTaweel Muneera, AlSulaiman Sarah, AlMukhaylid Sarah, Memon Fahad, AlAnazi Faisal, Gado Waleed, Naseef Tarek, AlMakhayitah Munirah, Alokifi Mohannad, Alazmi Abdulaziz, Alismail Asma, Alsultan Nada. A Case Report of Successful Fibrinolysis in a Multiple Coronary Ectasia ST-segment Elevation Myocardial Infarction Validated by Coronary Angiography. Cardiology and Angiology: An International Journal. 2022 May; 11(4): 68-73en_US
dc.identifier.issn2347-520X
dc.identifier.placeIndiaen_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/220230
dc.languageenen_US
dc.publisherSciencedomain Internationalen_US
dc.relation.issuenumber4en_US
dc.relation.volume11en_US
dc.source.urihttps://doi.org/10.9734/ca/2022/v11i430208en_US
dc.subjectCoronary artery ectasiaen_US
dc.subjectST-segment elevation myocardial infarctionen_US
dc.subjectFibrinolysisen_US
dc.subjectThrombolysis.en_US
dc.titleA Case Report of Successful Fibrinolysis in a Multiple Coronary Ectasia ST-segment Elevation Myocardial Infarction Validated by Coronary Angiographyen_US
dc.typeJournal Articleen_US
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