Multivessel atherosclerotic disease: case report

Abstract

Objectives: The rapidly aging population represents a major challenge for the health system, because of the higher incidence of chronic degenerative diseases, which leads to increasing economic and social costs. Mortality from cardiovascular disease is greatly increased with the passage of age, and from fifty years become the largest and the leading cause of deaths in Brazil. Atherosclerosis is one of these diseases, with different risk factors. This article, from a case report of a severe multisystem disease, aims to show the direct relation of risk factors in the Framingham study in the genesis of atherosclerotic arterial disease. The knowledge generated could facilitate the planning of actions to better access patients with these illnesses as well as to develop programs and strategies that contribute to benefit the care and quality of life in this age group. Case Report: A male patient, 72 years, hypertensive, diabetic and dyslipidemic internship at the hospital’s cardiology service Ibiapaba in Barbacena with chest pain and intermittent claudication. He underwent coronary angiographic study showed that significant atheromatous coronary obstruction 90% in right coronary artery, the circumflex 50% and 40% left anterior descending, and extensive aneurysmal dilatation of the left ventricle and akinesis of inferior wall and apical. In the angiographic study of arteries of lower limbs was found 70% occlusion of iliac arteries, among other vessels. Conclusions: There is now consensus among researchers that more research is needed on the implications of risk factors for cardiovascular disease in the elderly because of their importance and impact. The disease in this population segment is not an inevitable consequence of biological aging, but a pathological process with risk factors can be avoided