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In acute heart failure caused by VHD, symptoms result from rapid haemodynamic changes and subsequent decline in cardiacfunction, and if left untreated, leads to acute decompensation and cardiogenicshock. Abstract Worldwide, valvular heart disease (VHD) is a common cause of hospitalization for acute heart failure.
Angiography : LMCA — 90-99% osteal stenosis. LCx — 50-69% stenosis of the 1st marginal branch; with 100% distal LCx occlusion. The patient in today’s case presented in cardiogenicshock from proximal LAD occlusion, in conjunction with a subtotally stenosed LMCA. RCA — 100% proximal occlussion.
He was taken rapidly to the cath lab and here are some representative images before and after intervention: Acute proximal LAD culprit with TIMI 0 flow, 100% stenosis, thrombotic occlusion, requiring thrombectomy and PCI. Post cath EF was estimated at 15% with severe global hypokinesis, and akinesis of the apex.
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Cardiac Function 
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