A case report of intraoperative strategy adjustment for rescuing three-vessel disease STEMI complicated by electrical storm:insights from identification of culprit vessel in circumflex artery
- VernacularTitle:术中策略调整抢救三支病变STEMI合并电风暴1例:回旋支罪犯血管的识别启示
- Author:
Yunsen LEI
1
Author Information
- Keywords: ST-segment elevation myocardial infarction; percutaneous coronary intervention; culprit vessel; ventricular fibrillation; three-vessel disease; treatment strategy; microcirculation dis-turbance; electrical storm
- From: Journal of Clinical Medicine in Practice 2025;29(19):125-127
- CountryChina
- Language:Chinese
- Abstract: Early,complete,and sustained reperfusion of the culprit vessel is critical for success-ful rescue and long-term prognostic improvement in patients with acute ST-segment elevation myocar-dial infarction(STEMI).This report described a patient with STEMI initially presenting with chest pain and found to have three-vessel coronary artery disease during angiography.Rapid identification of the culprit vessel and intraoperative adjustment of the rescue strategy successfully rescued the patient's life and improved prognosis despite of recurrent ventricular fibrillation and electrical storm.
