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Elevated preprocedural CRP is not associated with increased risk for CI-AKI in patients undergoing PCI
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INTERESTING CASES

Case History :

A 66 year old woman presented with complains of recent worsening of dyspnea and exertional fatigue leading to hospital admission, she had mild long-standing exercise intolerance. She has a history of congenital heart disease and was told as a child she wouldn't survive surgery. She has had two prior strokes and is hypertensive and has thrombocytopenia.

On examination she was apparently well with Respiratory rate 16/min. Mildly cyanotic and clubbed - saturation 85%. Pulse was regular 100/minute. BP 140/90 mmHg. JVP was raised. There was a Parasternal lift with lateral retraction. The femoral pulses were normal. On auscultation S1 normal - S2 single Grade 3 very long ejection systolic murmur heard best 2LICS.

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Investigation Reports :

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Discussion :

This 66 year-old woman presents with an unrepaired tetralogy of Fallot. Even more unusual is the fact that she also has a presumed congenital absence of her left pulmonary artery, and may have unusual infundibular anatomy. The apparent absence of infundibular stenosis probably explains why she lived so long. Her Holter report caused us great concern, especially the 7 beat run of ventricular tachycardia at a rate of 190. We didn't treat this because there was no good reason to think we could benefit her, but are concerned because of the sudden death risk in all tetralogy patients.She was managed therapeutically for the time being.

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