A CASE OF DEVELOPMENT OF CARDIOGENIC SHOCK AFTER INTRA-ARTERIAL INJECTION OF PAPAVERINE DURING MEASURING OF FRACTIONAL FLOW RESERVE IN LEFT ANTERIOR DESCENDING ARTERY
https://doi.org/10.29001/2073-8552-2017-32-4-59-64
Abstract
Myocardial infarction complicated by cardiogenic shock is a rare but severe iatrogenic complication of invasive procedures. Damage of microcirculatory vessels; microcirculatory disorder, oedema of pericapillary tissues; embolization by microcrystals of contrast agent and platelet masses; inflammatory reaction in response to histamine release, dysfunctions of the heart’s autonomic nervous system cause “No-reflow” and “Slow-reflow” phenomena which leads to the development of pathological condition. In this case, a choice of interventions tactics depends on physician and is determined individually in each separate case, nevertheless the need of complete myocardial revascularization seems obvious.
About the Authors
E. N. Semukhina
Tyumen Cardiology Research Center, Tomsk National Research Medical Center, Russian Academy of Sciences, Tyumen
Russian Federation
Cand. Sci. (Med.), Researcher, Cardiologist
Russian Federation
Cand. Sci. (Med.), Researcher, Cardiologist
M. V. Semukhin
Tyumen Cardiology Research Center, Tomsk National Research Medical Center, Russian Academy of Sciences, Tyumen
Russian Federation
Cand. Sci. (Med.), Invasive Cardiologist, Department of X-ray and Surgery Methods of Diagnostics and Treatment No. 1
Russian Federation
Cand. Sci. (Med.), Invasive Cardiologist, Department of X-ray and Surgery Methods of Diagnostics and Treatment No. 1
L. I. Gapon
Tyumen Cardiology Research Center, Tomsk National Research Medical Center, Russian Academy of Sciences, Tyumen
Russian Federation
Dr. Sci. (Med.), Professor, Honored Scientist of the Russian Federation, Head of Clinical Cardiology Science Department
Russian Federation
Dr. Sci. (Med.), Professor, Honored Scientist of the Russian Federation, Head of Clinical Cardiology Science Department
I. P. Zyryanov
Tyumen Cardiology Research Center, Tomsk National Research Medical Center, Russian Academy of Sciences, Tyumen
Russian Federation
Cand. Sci. (Med.), Honored Doctor of the Russian Federation, Deputy Director for Scientific and Medical Work, Head of Department of X-ray and Surgery Methods of Diagnostics and Treatment No. 1, Tyumen Cardiology Research Center, Tomsk National Research Medical Center, Russian Academy of Sciences; Chief Non-Staff Specialist in Invasive Cardiology in the Ural Federal District
Russian Federation
Cand. Sci. (Med.), Honored Doctor of the Russian Federation, Deputy Director for Scientific and Medical Work, Head of Department of X-ray and Surgery Methods of Diagnostics and Treatment No. 1, Tyumen Cardiology Research Center, Tomsk National Research Medical Center, Russian Academy of Sciences; Chief Non-Staff Specialist in Invasive Cardiology in the Ural Federal District
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Review
For citations:
Semukhina E.N., Semukhin M.V., Gapon L.I., Zyryanov I.P. A CASE OF DEVELOPMENT OF CARDIOGENIC SHOCK AFTER INTRA-ARTERIAL INJECTION OF PAPAVERINE DURING MEASURING OF FRACTIONAL FLOW RESERVE IN LEFT ANTERIOR DESCENDING ARTERY. Siberian Journal of Clinical and Experimental Medicine. 2017;32(4):59-64. (In Russ.) https://doi.org/10.29001/2073-8552-2017-32-4-59-64
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