Interní Med. 2006; 8(2): 88-90

Jaká může být souvislost mezi synkopou, akutním infarktem myokardu a TIA?

MUDr. Josef Lebr1, MUDr. Petr Kala Ph.D2, MUDr. Jiří Pařenica2, MUDr. Tomáš Brychta2, MUDr. Martin Poloczek2
1 Interní oddělení oblastní nemocnice, Příbram, a.s
2 Interní kardiologická klinika FN a LF MU v Brně

Autoři popisují případ 79leté ženy s vícečetnou tepennou embolizací do koronárního a mozkového řečiště. Pacientka byla přijata na koronární jednotku pro náhle vzniklou dušnost následovanou krátkodobou poruchou vědomí. Při přijetí byla na EKG fibrilace síní a typický obraz akutního inferolaterálního infarktu myokardu. Navíc byl přítomen fokální neurologický deficit v podobě centrální parézy n. facialis vlevo. Emergentní koronarografie a transesofageální echokardiografie odhalily embolizační původ infarktu i TIA. Byla provedena prostá primární angioplastika infarktové tepny a jako profylaxe rekurence tepenné embolizace zavedena perorální antikoagulační léčba adjustovanými dávkami warfarinu.

Published: June 1, 2006  Show citation

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Lebr J, Kala P, Pařenica J, Brychta T, Poloczek M. Jaká může být souvislost mezi synkopou, akutním infarktem myokardu a TIA? Interní Med. 2006;8(2):88-90.
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