open access

Vol 15, No 6 (2020)
Case report
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Acute coronary syndrome in a patient with chronic heart failure, end-stage renal disease and right nephrostomy

Alicja M. Jarząbek
DOI: 10.5603/FC.2020.0063
·
Folia Cardiologica 2020;15(6):428-430.

open access

Vol 15, No 6 (2020)
Case Reports

Abstract

A 68-year-old patient with chronic heart failure, end-stage renal disease and right nephrostomy resulting from long-term nephrolithiasis was admitted because of retrosternal pain with shortness of breath at rest. Due to end-stage renal disease, despite the characteristic clinical picture, he was initially qualified for conservative treatment. However, during diagnostics and after deterioration of the patient’s condition, he underwent urgent coronarography. During the procedure, coronary intervention within the significantly narrowed coronary vessels was unsuccessful. After the procedure, the patient also started hemodialysis with good effect. The patient’s condition improved and he was discharged home with a recommendation to continue dialysis and continue outpatient care.

Abstract

A 68-year-old patient with chronic heart failure, end-stage renal disease and right nephrostomy resulting from long-term nephrolithiasis was admitted because of retrosternal pain with shortness of breath at rest. Due to end-stage renal disease, despite the characteristic clinical picture, he was initially qualified for conservative treatment. However, during diagnostics and after deterioration of the patient’s condition, he underwent urgent coronarography. During the procedure, coronary intervention within the significantly narrowed coronary vessels was unsuccessful. After the procedure, the patient also started hemodialysis with good effect. The patient’s condition improved and he was discharged home with a recommendation to continue dialysis and continue outpatient care.

Get Citation

Keywords

chronic heart failure, acute coronary syndrome, end-stage renal disease, nephrolithiasis, right nephrostomy

About this article
Title

Acute coronary syndrome in a patient with chronic heart failure, end-stage renal disease and right nephrostomy

Journal

Folia Cardiologica

Issue

Vol 15, No 6 (2020)

Article type

Case report

Pages

428-430

DOI

10.5603/FC.2020.0063

Bibliographic record

Folia Cardiologica 2020;15(6):428-430.

Keywords

chronic heart failure
acute coronary syndrome
end-stage renal disease
nephrolithiasis
right nephrostomy

Authors

Alicja M. Jarząbek

References (5)
  1. Abdo AS. Diagnosis and management of heart failure in long-term dialysis patients. Curr Heart Fail Rep. 2017; 14(5): 404–409.
  2. Inampudi C, Alvarez P, Asleh R, et al. Therapeutic approach to patients with heart failure with reduced ejection fraction and end-stage renal disease. Curr Cardiol Rev. 2018; 14(1): 60–66.
  3. Segall L, Nistor I, Covic A. Heart failure in patients with chronic kidney disease: a systematic integrative review. Biomed Res Int. 2014; 2014: 937398.
  4. Silverberg D, Wexler D, Blum M, et al. The association between congestive heart failure and chronic renal disease. Curr Opin Nephrol Hypertens. 2004; 13(2): 163–170.
  5. Hadjiphilippou S, Kon SP. Cardiorenal syndrome: review of our current understanding. J R Soc Med. 2016; 109(1): 12–17.

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