[HSF] Another Victory for the LAD Stent.....

[Ben Bidstrup]

A surgeon is a physician who operates (UK terminology).
A good surgeon knows when not to operate.

(Where does the cardiologist fit in here ?) In many countries a PCI 
is called heart surgery.


All we know about this guy, we got from his driver's license.
>59 year/old - called EMS from a local hotel with chest pain.
>
>Found in obvious respiratory distress with severe C.P.
>Scooped and run to our ED - intubated in ED instantly, then taken to cath
>lab...... very quick door to needle time.
>
>Cath - multiple LAD stents - occluded prox.  unable to pass a wire
>      Circ - occluded,  severe RCA disease
>   Has ICD
>
>tachycardic to 120-150's
>mild hypotension
>
>echo in cath lab ----> almost dead heart.
>
>severe pulm edema, severe respiratory acidosis (ph: 6.9  pCO2=90 sats in
>70's)
>given lasix, heparin, reopro
>
>we are called........
>
>
>
>I guess he has not read the recent studies..............
>
>
>
>-michael
>_______________________________________________
>OpenHeart-L mailing list
>
>Send postings to:
>  OpenHeart-L at lists.hsforum.com
>
>To UNSUBSCRIBE, to CHANGE email address, or to view archives:
>http://mmp.cjp.com/mailman/listinfo/openheart-l
>
>All messages transmitted by the OpenHeart-L are subject to the policies and
>disclaimers posted at:
>http://www.hsforum.com/listdisclaim
>-----------------------------------------


-- 
Ben Bidstrup FRACS FRCSEd FEBCTS
Consultant Cardiothoracic Surgeon