93-year-old man's life saved thanks to timely coronary stent placement

Mr. PHX (residing in Hung Nguyen, Nghe An) was admitted to the hospital with intermittent chest pain lasting 10-15 minutes, accompanied by difficulty breathing. The patient had a history of previous interventricular artery stent placement.

However, the unusual thing was that the two cardiac enzyme tests and the initial imaging tests were all within normal limits. Just one day after being admitted to the hospital, the patient suddenly experienced severe chest pain unrelated to exertion, rapid drop in blood pressure, and slow heart rate. The paraclinical indicators had obvious changes: elevated cardiac enzymes, altered electrocardiogram - clear signs of acute myocardial infarction, accompanied by cardiogenic shock.

The medical team immediately provided emergency treatment and held a hospital-wide consultation. At the same time, the hospital connected with experts from Hanoi Heart Hospital to come up with the optimal intervention plan. The patient was assigned to have a coronary angiogram using the modern 2-plane DSA system - one of the leading modern technologies today. The results showed that the circumflex artery (LCx) was severely narrowed by 95-99%.

Immediately after detecting coronary artery damage, the team placed a stent at the narrowed location. Thanks to timely and accurate treatment, the patient quickly stabilized his hemodynamics, reduced chest pain, and recovered well after the intervention.

Master, Doctor Thai Van Thuat - Member of the intervention team, Coronary intervention team shared: "This is a really challenging case, because the patient is very old, has had previous coronary intervention, the access is difficult, and there is a high risk of bleeding. The acute situation requires the coordination of the entire team quickly and accurately."

The success of this technique at Vinh City General Hospital comes from a strong investment in a 2-plane digital subtraction angiography (DSA) system - one of the most modern equipment today, meeting the standards of major cardiovascular centers. This system provides clear images, supporting doctors to perform complex procedures with high accuracy.

In particular, the cooperation with experts from Hanoi Heart Hospital - one of the leading cardiovascular centers in Vietnam has contributed significantly to improving the quality of treatment. The hospital's team of doctors, trained in depth at central facilities, with support from leading experts, have mastered cardiovascular intervention techniques; providing effective and safe treatment for patients.

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In recent times, Hanoi Heart Hospital has accompanied Vinh General Hospital in the examination and intensive treatment of cardiovascular diseases. Recently, we have successfully performed more than 30 coronary angiography, angioplasty and stent placement cases here. With a modern cardiovascular intervention system (DSA 2 planes) and a team of experienced professionals. I believe that Vinh General Hospital will soon master the technique and deploy it effectively in the near future.

Hanoi Heart Hospital will continue to accompany and provide regular professional support to Vinh City General Hospital to improve the quality of cardiovascular treatment for people in Nghe An and neighboring areas."

Dr. Hoang Van - Deputy Director of Hanoi Heart Hospital

This success is a positive signal, opening up opportunities for local elderly patients to access modern cardiovascular intervention techniques, right at the provincial level; limiting referrals, reducing the risk of treatment delays and saving costs, creating favorable conditions for patients.

In the near future, Vinh General Hospital will continue to cooperate comprehensively with major Cardiovascular Centers across the country to transfer specialized techniques in this field and proactively deploy them at the hospital./.