History A 105-year-old male patient, with a known history of cardiac disease for the last 5 years, was admitted to the cardiology department when his complaints intensified in the past one week. Ejection fraction was 45% in echocardiography. Coronary angiography findings were: 95% of stenosis in the left anterior descending (LAD) ostial Circumflex (Cx) diffused mid area with plaques and lesions by 80% 70%–80% of stenosis in the right coronary artery (RCA) The patient had pain even during rest and ECG showed 2-3 mm of elevation at the anterior derivations.
He had unstable pain, so coronary lesions were not suitable for PTCA procedure, and there were preshock findings. Examination Arterial blood pressure: 100/60 mmHg Crepitation detected in the basal segments of the lungs Urea: 87 mg/dL Creatinine 1.7 mg/dL What is the preferred alternative procedure? *This case is from Docplexus…
