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KMID : 0368120120420050355
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Korean Circulation Journal
2012 Volume.42 No. 5 p.355 ~ p.359
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Successful Percutaneous Coronary Intervention in a Centenarian Patient With Acute Myocardial Infarction
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Lee Ki-Hong
Jeong Myung-Ho
Chung Cho-Yun
Kim Dong-Han
Lee Min-Goo
Park Keun-Ho
Sim Doo-Sun
Yoon Nam-Sik
Yoon Hyun-Ju
Kim Kye-Hun
Hong Young-Joon
Kim Ju-Han
Ahn Young-Keun
Cho Jeong-Gwan
Park Jong-Chun
Kang Jung-Chaee
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Abstract
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Despite an increasing prevalence and burden of disease in the elderly, little is known about the management and outcomes of acute coronary syndromes in this group. We report the case of a 101-year-old female patient with a non-ST segment elevation myocardial infarction. Coronary angiography showed a total occlusion of the proximal right coronary artery (RCA), and a significant stenosis in the proximal to mid left anterior descending artery (LAD). Despite a very poor initial clinical status, a percutaneous coronary intervention was successfully performed for the total occlusion in the RCA. The LAD lesion was treated with medical therapy only, on account of the age and general condition of the patient. She was discharged after recovering to a good health status, free of chest pain or dyspnea.
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KEYWORD
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Centenarian, Myocardial infarction, Percutaneous transluminal coronary angioplasty
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