Acute coronary syndromes in oncology: conservative or invasive strategies? Case study and literature review Case report

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Published: Mar 26, 2018
DOI: https://doi.org/10.24292/01.OR.260318
Keywords:
cancer, acute coronary syndrome without ST-elevation, antuplatelet therapy

Main Article Content

Michał Wilk
1. Department of Pulmonary Circulation, Thromboembolic Diseases and Cardiology, Centre of Postgraduate Medical Education, European Health Centre, Otwock. 2. Department of Clinical Oncology, European Health Centre, Otwock
Anna Walaszkowska-Czyż
Department of Clinical Oncology, European Health Centre, Otwock
Arkadiusz Rak
Cardiology Centre, Józefów
Michał Piłka
Department of Pulmonary Circulation, Thromboembolic Diseases and Cardiology, Centre of Postgraduate Medical Education, European Health Centre, Otwock
Sebastian Szmit
Department of Pulmonary Circulation, Thromboembolic Diseases and Cardiology, Centre of Postgraduate Medical Education, European Health Centre, Otwock

Abstract

We present the case of a 70-year-old male patient with metastatic and castration-resistant prostate cancer as well as advanced bladder cancer, who suffered a non-ST-elevation myocardial infarction (NSTEMI). The cause of ischemia was critical left main stem stenosis, and right coronary artery stenosis. Initially, the patient was qualified for conservative treatment, but due to the intensifying symptoms of myocardial ischemia, it was decided that a hemodynamic intervention was necessary. Two drug-eluting stents were implanted, leading to clinical improvement. Following the treatment, the patient was considered as a candidate for further anti-cancer therapy. Unfortunately, due to the bladder cancer progression, anaemia and haemorrhage, his clinical condition exacerbated, and the patient died about 1 month from the cardiac intervention. Apart from the case description, the paper includes a review of literature on the treatment of acute coronary syndromes without ST-segment elevation in cancer patients.

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How to Cite
1.
Wilk M, Walaszkowska-Czyż A, Rak A, Piłka M, Szmit S. Acute coronary syndromes in oncology: conservative or invasive strategies? Case study and literature review. OncoReview [Internet]. 2018Mar.26 [cited 2024Nov.22];8(1(29):5-10. Available from: https://journalsmededu.pl/index.php/OncoReview/article/view/414
Issue
Vol 8 No 1(29) (2018)
Section
CARDIO-ONCOLOGY
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