Successful Treatment of an Elderly, Frail Patient with Non-ST Elevation Myocardial Infarction and Multi-organ Failure: Against the Odds

Abstract

Contemporary cardiology offers potent treatment options for acute coronary syndrome. Occasionally, the most challenging part of the patient care occurs after percutaneous coronary intervention (PCI). Complications such as acute renal failure requiring renal replacement therapy, need for mechanical ventilation, infections, septic syndrome requiring vasopressor therapy, and stroke may influence short- and long-term outcome of such patients. In this paper, we present a case of an elderly lady treated with left main PCI due to acute non-ST elevation myocardial infarction. The case was complicated with all above listed events, however, the outcome was favourable.

Keywords

• Left-main
• Percutaneous coronary intervention
• Mechanical ventilation
• Renal replacement therapy
• Stroke
• Sepsis