Acute coronary syndrome in a patient with chronic heart failure, end-stage renal disease and right nephrostomy
open access
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.
Keywords
chronic heart failure, acute coronary syndrome, end-stage renal disease, nephrolithiasis, right nephrostomy


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


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