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77-Year-Old Male with Chest Pain Case Study

This document presents a case report of a 77-year-old Asian male admitted with chest pain. Key findings include elevated troponin and EKG changes consistent with AMI. The patient was treated with aspirin, streptokinase, clopidogrel, enoxaparin, beta blockers, ACE inhibitors, and statins. He developed worsening symptoms and was transferred for angiography and stenting. The patient later presented with pulmonary edema and was managed supportively. The document discusses diagnostic criteria for AMI and recommendations for drug therapy including antiplatelets, thrombolytics, anticoagulants, and secondary prevention medications.

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0% found this document useful (0 votes)
77 views47 pages

77-Year-Old Male with Chest Pain Case Study

This document presents a case report of a 77-year-old Asian male admitted with chest pain. Key findings include elevated troponin and EKG changes consistent with AMI. The patient was treated with aspirin, streptokinase, clopidogrel, enoxaparin, beta blockers, ACE inhibitors, and statins. He developed worsening symptoms and was transferred for angiography and stenting. The patient later presented with pulmonary edema and was managed supportively. The document discusses diagnostic criteria for AMI and recommendations for drug therapy including antiplatelets, thrombolytics, anticoagulants, and secondary prevention medications.

Uploaded by

mwaniks
Copyright
© Attribution Non-Commercial (BY-NC)
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as PPT, PDF, TXT or read online on Scribd

CASE PRESENTATION

DR. NANCY KUNYIHA


 77 year old Asian male
 C/o Chest pain for 3 days that had worsened in
the last 4 hours.
 Radiating to the left arm
 Sweating
 Palpitations
PMHX
 Not significant for any illnesses. Had never
had a hospital admission
 Risk factors were Age & Sex, being Non
smoker, non diabetic with no family H/o
hypertension, hypercholestrolaemia, cardiac
disease or sudden death
 Widower. Works in Insurance business in the
UK.
EXAMINATION
 Sick looking BP 100/60mmHG Pulse 60/min regular
 Diaphhemorrhagicpallor, jaundice or edema. No LN.
No thrush
 CVS: S1 & S2 heard with added S4. No murmurs
heard.
 ABD: Soft. No organomegaly
 CNS: Oriented and alert with no neurological deficit
 RESP: Chest clear bilaterally
INVESTIGATIONS
 Hgram: Normal
 UEC : Normal
 Troponin I : 0.4 ng/ml, 1020,
 CK 1104, CKMb 67
 LFT :Normal
 CXR: Normal
 Lipids Not available
 TSH Not available
DRUG THERAPY
DAY 1
 ASA 300mg stat then 75mg OD
 Streptokinase 1.5 MU stat over 60 minutes
 Clopilet 75 mg
 Clexane 60mg sc BD
 GTN spray
 Aztor 40 mg
 Lasix 20mg IV OD
 Aldactone 25mg OD
DAY 2
 Carvedilol 1.565 mg commenced
 GTN was to be stopped as long as patient pain
controlled if BP fell
 2D ECHO 23/9/10 Akinetic septum
anterolateral walls. Base to apex. No
intramural thrombus. EF 40 – 45% Trace MR.
Mild LA. Mild AV Sclerosis
DAY 3
 Patient developed pain again and enzyme
levels noted to rise. ST segment changes
persisted
 Trop 1550 from 1020, CKMB 362 from 67
 Transferred on Day4 to Nairobi Hospital for
Coronary angiography and stenting.
DAY 7
 Patient re -admitted from Nairobi Hospital to
the ICU with difficulties in breathing
 O/E Tachypnoeic RR 36/Min No pedal edema
 Bi basal coarse crepitations.
 No organomegaly
 S3 gallop heard with tachycardia of 90/ min
 CXR Mild pulmonary congestion
MANAGEMENT
 Lasix 40mg iv stat
 Combivent Nebs PRN
 Other meds continued. Post stenting had
additional Avelon 400mg OD.
 DDx Pulmonary edema rule out chest infection
DRUG THERAPY…….
 Addition of ACE Inhibitor of Tritace 1.25mg
on day 8 was reported to have caused a drop in
blood pressure and was withdrawn till day 12
of therapy.
 Captopril 3.125mg BD for last 3 days
 Aldactone increased to 25mg BD
 Patient has shown improvement and
transferred to the ward. BP now 110/70 mmHg
 Managing off oxygen
DISCUSSION
 Anatomy important .
 RCA Posterior Descending and Marginal
Branches. Supplies nodes and part of the
interventricular septum
 LCA LAD and Lt Circumflex Artery
 Supplies Ant part of Lt and Rt ventricle Ant
septum, Ant LV wall
 Sinus node 60% RCA 40% Left Circumflex
 AVN RCA 90% LCA 10%
DIAGNOSIS OF AMI
 Chest pain Nb: DM and Elderly
 ECG changes including new LBBB
 Enzyme elevation 1mm limb leads and 2 mm
in 2 consecutive chest leads
 ?Angina lasting 30minutes to 12 hours
unrelieved by GTN
ECG IN DIAGNOSIS

 The early and accurate identification of the


infarct related artery on the ECG can help
predict the amount of myocardium at risk and
guide decisions regarding the urgency of
 re vascularization therapy
 Also important in identifying new conduction
abnormalities that may infleunce short and
long term outcome.
ECG IN DIAGNOSIS…
 ST elevation V1 V2 V3 = Occlusion of LAD
 ST elevation V1 V2 V3 AVL and ST dep > 1mm in
AVF = Prox Occlusion of LAD
 ST elevation with V2 V3 AVF depression = LAD
occlusion distal to origin of diagonal branch that also
supplies the inferoapical section of the Lt ventricle
 New RBBB with Q wave preceeding the R wave in
V1 is a specific but not sensitive marker of LAD
occlusion (1)
RECOMMENDED DRUG MODALITIES
FOR MANAGEMENT OF AMI
 Aspirin and Antiplatelet agents
 Thrombolytic agents
 Heparin/ Clexane
 Analgesia
 Nitrates
 Beta blockers
 Ace Inhibitors
 Spironolactone
 Statins
ANTIPLATELET AGENTS
 ASA
 CLOPIDOGREL
 GLYCOPROTEIN INHIBITORS
ASPIRIN
 Prevents formation of thromboxane A2
 50% reduction in mortality and re infarction
 ISIS 2 trial 17000 pts with 4 arms ASA,
streptokinase , ASA & STREP, Placebo
 Benefits persisted in all sub groups even at 4 years
post event
 No actual difference has been noted in regards to
timing of the ASA as long as given within the first 24
hours but prudence has it that we should give as soon
as possible even on onset of suspicious chest pain at
home.
CLOPIDOGREL
 Action at the ADP receptor.
 Prolonged ant platelet action therefore should
only be used where there is low possibility of
surgical intervention
 AHA 2002 guidelines suggest its use in ACS
NSTMI and unstable angina
 Allergy to ASA or NSAIDS
 With ASA in patients with stents
GLYCOPROTEIN 11B 111B
INHIBITORS
 Block the binding of fibrinogen to platelet receptors
 Poor response to aggressive medical therapy with on
going ischaemia
 STEMI patients going for emergent diagnostic
angiography or acute PCI
 NSTEMI going for elective Angiography
 Studies to date have not shown any superiority to use
of these agents over LMW with thrombolytic agents
NITRATES
 Mainly Vasodilatory effect thereby reducing
peripheral vascular resistance and LV pressure at
systole
 Cause venous pooling that diminishes venous return
to the heart and reducing LV end diastolic pressure
 Only Pre thrombolytic era trials have suggested
benefit but only in Ant wall MI.(2)Suggested a 49%
reduction in [Link] as flawed as did not
have adequate nos.
 ISIS 4 Study Mg, Captopril, Isosorbide
mononitrate. Primary end point was mortality
at 5 weeks. 6.98% cf 7.22% among the
placebo group
 Hence the role of nitrates not clearly beneficial
in regards to mortality but useful for pain
management.
 Contraindicated with BP below 90/50 MMHg
 Useful in HTN or CHF
BETA BLOCKERS
 Reduce Sympathetic activity
 Reduce heart rate therefore oxygen demand
 Prevention of arrhythmias
 Reduction of infarct size indirectly by he above
mechanisms
 14 to 15% risk reductions for vascular mortality
 TIMI 11B Trial. Compared the early use of
metoprolol i.e within 12 hours cf with their use at 6
days Primary end point was resting global EF which
was not found to be significantly different in the two
groups
BETA BLOCKERS…
 Sub group analysis of secondary end points
showed significant findings . Incidence of
death and re infarction at 6 weeks among the
early introduction was 5.4% cf 13.7% in those
with delayed beta blockade
 There was a lower incidence of recurrent chest
pain and of re-infarction in the former group
ACE INHIBITORS
 A large no. of trials have looked a t this therapy
 SAVE ( Survival and ventricular enlargement)
 AIRE ( Acute infarction Reperfusion Efficacy)
 TRACE : Trandolapril cardiac Evaluation
 All showed benefit of commencing ACE within 3
days of large anterior infarction where there is LV
dysfunction.
 CONSENSUS : Cooperative new scandanavian
enalapril survival study. Used iv early ACE then oral
 Stopped due to side effects and hypotension
especially the elderly
 ISIS 4 Oral Captopril, Mg ,Monotrate No
significant reduction in mortality
 CSS Chinese Cardiac Study . Oral captopril
and placebo. 9.05% vs 9.59% risk reduction
 Reduce adverse ventricular remodelling
STATINS
 Have been shown to reduce cardiovascular
mortality by reduction of artheroma formation
 Also long term benefit by modification of the
endothelium
 Aim Total Cholestrol of 4.8 to 5.5 mmol .LDL
of 2.6 mmol
 Studies PROVE IT TRIAL
 REVERSAL TRIAL
 MIRACLE TRIAL
SPIRONOLACTONE
 Hormone that is involved in regulation of
water, sodium and potassium
 Aldosterone is produced in larger amounts
after an MI with activation of the RAS
 Definate recommendation in patients in
NYHA 3,4 failure according to the AHA. In
patients with 1 & 2 it is not certain if it reduces
mortality
 Can be initiated at any point but usually before beta
blockers have been instituted.
 30% risk reduction for death and 35% reduction of
admissions for heart [Link] for potassium.
Few cases of significant hyperkalaemia are reported.
 ( 4)
 RALES : Random Aldactone Evaluation Study Study
there was a 30% reduction in mortality and 2%
incidence of hyperkalaemia in aldosterone group as cf
1% in placebo
LMWT AND UF HEPARIN
 STEMI and NSTEMI except when
streptokinase is used
 Heparin should be used with tPA rTPA and
TNK
 Clexane is recommended where warfarin will
be used usually in anterior MI
 Heparin has been shown to be more superior
in NSTEMI than Clexane
DIGOXIN
 No proven benefit in pump failure
 Used where there is Atrial fibrillation
THROMBOLYTIC AGENTS
 Streptokinase Cardiogenic shock and age over 75 years,Cost
Benefit
 well Alteplase 15,50 35,
 Reteplase 10 units, 10
 Tenecteplase
 N.B Low weight ha been noted to be asstd with increased risk of
bleed therefore calculate
 Alteplase 15mg,50mg ,35mg
 Reteplase 10 units, 10units
 Tenecteplase
 N.B Low weight has been noted to be
associated with increased risk of bleed
therefore calculate doses carefully
CI TO THROMBOLYSIS
AHA GUIDELINES
ABSOLUTE
[Link] internal bleeding
[Link] haemorragic stroke
[Link] neoplasm
[Link] Aortic dissection
RELATIVE
 Severe uncontrolled hypertension 180/100mmHg

 H/O CVA

 Anticoagulant use with INR 2 -3 or Bleeding diasthesis

 Recent internal bleeding or significant trauma

 Streptokinase within 5 days to 2 years or previous allergy

 Pregnancy

 Active PUD

 Chronic HTN
COMPLICATIONS
 Arrhythmias. Tachys, Bradys
 Heart failure
 Cardiogenic shock
 MR
 Septal perforation
 Vetricular aneurysm
 PTE
 RV Infarction
 Post Infarction Angina
 Pericarditis
 Dresslers
PCI
 Haemodynamically unstable patients
 Patients who have been thrombolysed recently
and return with unstable angina
 Aim for door to balloon time of 90 minutes
 Currently advised to deal with the occluded
vessel first and sort out surgical
revascularization of the others after patient has
been stabilized
PTCA
 Balloon dilatation of the stenotic vessel
 NICE recommends 70% of dilatations should
be accompanied by stenting as it reduces re
stenosis rates.
 Heparinized stents with Ticlopidine reduce
thrombosis
Complications of PCI
 Local dissection of blood vessels
 Distal embolization
 30% re-occlusion in 6 months
 Acute occlusion in 2%
 Death < 0.5%
PCI or CABG
 Left main, 2 vessel or 3 vessel dz with LAD
involvement and evidence of ischaemia,failed
angioplasty
 FRISC 11 and TACTIS TIMI 18 trial suggests
benefit of early PCI and CABG within 48
hours, if required, to reduce the incidence of
major cardiac events
REPERFUSION
 Patients have majority of functional improvement
occurring within the first two weeks post infarction
therapy.
 Peak creatinine kinase level seemed to be the
strongest independent predictor of subsequent
recovery of ventricular function after anterior Q wave
infarction(3)
 Early functional assessment on day 1 had limited
ability to predict recovery of ventricular function
 Presence of epicardial flow does not always co
relate with microvascular perfusion “No
reflow phenomenon”
 Absence of tissue perfusion is the most potent
predictor of impaired ventricular function and
risk of death.
 ST resolution is an excellent marker of tissue
reperfusion. Over 70% reduction in elevation
is very favourable
RISK STRATIFICATION
 2DECHO LV EF
 Pre- Discharge EST with Modified Bruce
protocol. If Negative then home and out
patient full stress test in 6 weeks
 If positive then Coronary Angiography
 Non modifiable factors eg Sex and Age,
Family history
 Modifiable eg Lifestyle, Smoking, Cholestrol
etc
INCREASED RISK
 Over 70 years
 Ant MI
 Hypotension with tachycardia
 Previous MI
 DM
 Continued smoking
 A fibrillation
CONCLUSION
 AMI is a very wide subject of discussion
 ACE, ASA, BETA
BLOCKERS,STATINS,SPIRONOLACTONE IN
NYHA 3 AND 4 have been definitely shown to
reduce cardiac mortality and are recommended for
use in all patients who have had an AMI
 ACE has been found to be beneficial especially in
Anterior MI and and where there is LV dysfunction
 Holistic but individualized approach must be
considered in each patient.
 1. Engelen et al 1999 NEJM Value of ECG in
localizing LAD involvement in Ant wall
infarction Lancet1995
 2. Jugdutt and Warnica lancet 1995:345
(8951):669-85
 3. HEART Study Healing and Early Afterload
Reducing Therapy Study Annals of Int Med
Mar2001:vol134:6
 [Link] 1999 2;341(10)709-17
The end of each day brings
hope for a new tomorrow

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