A Case of Colon Cancer Surgery Complicated with Acute Myocardial Infarction
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Keywords

Colon cancer
Acute myocardial infarction
Treatment method
Prevention method
Functional level

DOI

10.26689/jcnr.v6i6.4445

Submitted : 2022-10-31
Accepted : 2022-11-15
Published : 2022-11-30

Abstract

Objective: To investigate the treatment and prevention of acute myocardial infarction after colon cancer surgery. Methods: A patient with acute anterior myocardial infarction who underwent stent implantation in the Seventh Affiliated Hospital, Sun Yat-sen University in 2017 was selected as the subject. The patient was admitted to the emergency department for stent implantation and took antiplatelet and lipid regulating drugs orally on time after the operation. The patient also had a history of colon cancer. The lesion was resected, and the complication after operation was acute myocardial infarction. After active and effective treatment and intervention, the treatment effect of the patient was analyzed. Results: Urgent PTCA was performed, and 0.5 mg Tirofiban was injected into the coronary artery. The results of angiography showed that the blood flow of anterior descending branch recovered to grade 2. Conclusion: The condition of patients with myocardial infarction after colon cancer surgery changes rapidly. Surgery combined with drug treatment can achieve a good prognosis, reduce mortality, and improve patients’ cardiac function.

References

Diao H, Ni Z, Wang S, et al., 2020, Effect of Component Separation Technique on Abdominal Wall Defect After Abdominal Wall Tumor Resection. Chinese Journal of General Surgery, 35(6): 463–467.

Zhu C, Yan R, 2019, Influences of Tongmai Capsule Combined with Nicorandil on Coronary Blood Flow and Complications in Patients with Acute Myocardial Infarction After PCI. Chinese Journal of Integrative Medicine on Cardio-/Cerebrovascular Disease, 17(22): 13–16.

Martial H, Emmanuelle FC, 2019, Optimal Trial in Myocardial Infarction with the Angiotensin II Antagonist Losartan. The OPTIMMAL Trial: Losartan or Captopril After Acute Myocardial Infarction. Lancet (London, England), 360(9348): 1886–1887.

Wang Z, Luo Z, 2019, A Case Report of Application of Indobufen in the Treatment of Acute Anterior Myocardial Infarction Complicated with Left Ventricular Mural Thrombosis. Chinese Journal of Practical Internal Medicine, 39(4): 92–94.

Pan J, Feng K, Chen L, et al., 2019, Takotsubo Syndrome Followed with Postoperative Colon Aneurysm: A Case Report. Chinese Journal of Internal Medicine, 58(4): 307–309.

Wang M, Li B, Wang S, et al., 2019, A Case of Acute Myocardial Infarction in a Young Female Patient After Heart Valve Replacement and Literature Review. Hainan Medical Journal, 30(12): 1616–1619.

Chen J, Li J, Wang Y, et al., 2019, A Case of Acute Myocardial Infarction Caused by Embolism in a Patient After Mechanical Aortic Valve Replacement. Chinese Journal of Cardiology, 47(1): 60–62.

Ederhy S, Cohen A, Bocarra F, et al., 2019, In-Hospital Outcomes and 5-Year Mortality Following an Acute Myocardial Infarction in Patients with a History of Cancer: Results from the French Registry on Acute ST-Elevation or Non-ST-Elevation Myocardial Infarction (FAST-MI) 2005 Cohort. Archives of Cardiovascular Diseases, 112(11): 657–669.

Han Y, Xu B, Xu K, et al., 2016, Six Versus 12 Months of Dual Antiplatelet Therapy After Implantation of Biodegradable Polymer Sirolimus-Eluting Stent: Randomized Substudy of the I-LOVE-IT 2 Trial. Circulation: Cardiovascular Interventions, 9(2): e003145.

Palmerini T, Benedetto U, Bacchi-Reggiani L, et al., 2015, Mortality in Patients Treated with Extended Duration Dual Antiplatelet Therapy After Drug-Eluting Stent Implantation: A Pairwise and Bayesian Network Meta-Analysis of Randomised Trials. The Lancet, 385(9985): 2371–2382.

Kuehneman T, Gregory M, de Waal D, et al., 2018, Academy of Nutrition and Dietetics Evidence-Based Practice Guideline for the Management of Heart Failure in Adults. Journal of the Academy of Nutrition and Dietetics, 118(12): 2331–2345.

Abdelrahman M, Subzposh FA, Beer D, et al., 2018, Clinical Outcomes of His Bundle Pacing Compared to Right Ventricular Pacing. Journal of the American College of Cardiology, 71(20): 2319-2330.

Walker MA, Tian R, 2018, Raising NAD in Heart Failure: Time to Translate?. Circulation, 137(21): 2274–2277.

Konstam MA, Kiernan MS, Bernstein D, et al., 2018, Evaluation and Management of Right-Sided Heart Failure: A Scientific Statement from the American Heart Association. Circulation, 137(20): e578-e622.

Lopes RD, Rordorf R, De Ferrari, et al., 2018, Digoxin and Mortality in Patients with Atrial Fibrillation. Journal of the American College of Cardiology, 71(10), 1063-1074.

Wang H, Chen Q, Li, Y et al., 2017, Prognostic Value of Galectin-3 on Admission in Chinese Patients with Heart Failure: A Prospective Observational Study. Acta Cardiologica, 72(2): 188–195.

Mancini GJ, Gosselin G, Chow B, et al., 2014, Canadian Cardiovascular Society Guidelines for the Diagnosis and Management of Stable Ischemic Heart Disease. Canadian Journal of Cardiology, 30(8): 837–849.

Hershberger RE, Siegfried JD, 2011, Update 2011: Clinical and Genetic Issues in Familial Dilated Cardiomyopathy. Journal of the American College of Cardiology, 57(16): 1641–1649.

Jolicœur EM, Dunning A, Castelvecchio S, et al., 2015, Importance of Angina in Patients with Coronary Disease, Heart Failure, and Left Ventricular Systolic Dysfunction: Insights from STICH. Journal of the American College of Cardiology, 66(19): 2092–2100.