eISSN: 1897-4295
ISSN: 1734-9338
Advances in Interventional Cardiology/Postępy w Kardiologii Interwencyjnej
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3/2021
vol. 17
 
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abstract:
Image in intervention

Thin-strut bioresorbable-polymer sirolimus-eluting stent use for an optimal result of rescue coronary angioplasty in acute myocardial infarction failed thrombolytic therapy: the Bangladesh National Heart Foundation Annual Conference OCT-assisted live case

Fazila-Tun-Nesa Malik
1
,
Ashok Dutta
1
,
Dhiman Banik
1
,
Tawfiq Shahriar Huq
1
,
Muhammad Kalimuddin
1
,
Filip Mikołajczyk
2
,
Piotr Musialek
3

1.
Department of Cardiology, National Heart Foundation Hospital & Research Institute, Dhaka, Bangladesh
2.
KCRI, Krakow, Poland
3.
Department of Cardiac and Vascular Diseases, Jagiellonian University, John Paul II Hospital, Krakow, Poland
Adv Interv Cardiol 2021; 17, 3 (65): 309–312
DOI: https://doi.org/10.5114/aic.2021.109834
Online publish date: 2021/10/20
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A 47-year-old man, smoker, was transferred to the Department of Cardiology Catheterization Laboratory at the National Heart Foundation (NHF) Hospital & Research Institute [1] in Dhaka, Bangladesh, from a remote hospital after streptokinase failure to reperfuse anterior ST-elevation acute myocardial infarction (STEMI).

The patient had presented in a local hospital with a severe retrosternal pain of 6-hour duration (transportation > 2 h). A diagnosis of anterior STEMI was made. The patient received i.v. morphine (8 mg) and intravenous streptokinase (STK, 1.5 million units i.v.) as the first-line reperfusion therapy in most areas of Bangladesh. Other medications were oral aspirin (300 mg), loading dose of generic clopidogrel (300 mg), and high-dose (80 mg) generic atorvastatin, all of which are now manufactured in the country.
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