Interv Akut Kardiol. 2022;21(1):41-44 | DOI: 10.36290/kar.2022.002
Triple combination, double meaning
- Kardiologické centrum Agel, a. s., Pardubice
The case report presents two views on the concept of "triple combination" in treating a particular patient with coronary artery disease. The first, somewhat untraditional meaning of the two-word expression is used to describe an unusual case of three chronic total occlusions (CTO) in three different coronary territories clinically manifested by heart failure in the setting of ischaemic cardiomyopathy. All the occlusions were gradually recanalized using CTO PCI techniques with a good angiographic and clinical effect. There was a marked improvement in the original systolic left ventricular dysfunction. The individual procedures are illustrated by images and accompanied by general information on CTO PCI. A second meaning of the words "triple combination" - in a more traditional pharmacotherapeutic sense - represents a fixed combination of three antihypertensive and lipid-lowering drugs which were used in the same patient to optimize the secondary preventive therapeutic regimen.
Keywords: fixed combination, chronic total occlusion, CTO, PCI, secondary prevention, case report.
Received: January 18, 2022; Revised: January 18, 2022; Accepted: January 18, 2022; Prepublished online: January 18, 2022; Published: March 22, 2022 Show citation
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