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Case Sharing: Treatment Strategy Using DCA for Both RCA- and LAD-CTOs in a Male in His Late 30's
Dr. Yasunori Inoguchi, Asahi General Hospital
Case
Male in his late 30's
Chief complaint
No symptoms (Asymptomatic Ischemia)
Current medical history
The patient was diagnosed with hypertension, dyslipidemia, and chronic kidney disease (CKD) in 20XX, after which a biopsy was performed to investigate the etiology of CKD. Minor glomerular abnormalities were revealed. The patient was followed up by a nephrologist at our hospital, dialysis was started 11 years after the diagnosis, and old MI (OMI) was suspected in the electrocardiogram at that time. After that, CTO lesions of RCA and LAD were confirmed by cardiac CT, and he was referred to the Department of Cardiology.
Medical history
Hypertension, dyslipidemia
taste history
Non smoking, occasional drinker
History of medication
Olmesartan 10mg/day, amlodipine 10mg/day, pravastatin 20mg/day, calcium carbonate 1,500mg/day
Blood test findings
WBC 5.8×103/µL
T-cho 214mg/dL
RBC 4.69×106/µ...
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