60% of the victims of heart attacks are men at about 55 years of age. Heart attack in women occurs in general later, at around 65 years of age. Let’s go? This patient is 77 years old, with hypertension, diabetes, dyslipidemia. He had an episode of severe chest pain on the 23rd. The pain lasted for about 20 minutes. Perfect, that’s great. Great This is an urgent case because it’s a myocardial infarction. We think that this patient may have an artery of the heart… may have had a rupture in a fatty plaque with the formation of a clot, and we think that this artery may have a significantly reduced flow. so the blood is circulating poorly in the heart and part of the heart muscle has died. If you have an obstruction in the artery, you go to a procedure called angioplasty, which is the unblocking of the artery, where, in the majority of cases, a stent is inserted. The stent is a small spring, a prosthesis that we implant in the location of the obstruction in order to normalize the blood flow to the heart muscle. So this is what we do in the case of a myocardial infarction. Let’s get started, Mr. Edson? Let’s go. Let’s take a look at this heart? Let’s go. Dr. Carlos begins the catheterization, an exam that can diagnose a clogged artery. Mr. Edson, look, the catheterization is over now, ok? I will go outside to examine the result with your clinicians, so we can define the treatment. Ok? Ok. If you asked me whether I think it’s possible to normalize this, I think it’s possible. Let’s open it? We identified that one of the heart’s arteries is blocked but now I will go there with the catheter to try to open this artery, so the blood can circulate again in your heart. Ok? Let’s do it. Wonderful, let’s do it. This is the stent, the prosthesis, the small spring that we insert to keep the blood circulating in the heart. I think we can do it, Mr. Edson. The artery is open. Did you get it? It worked out, your heart’s problem is solved now. Your blood came, got all the way here and stopped here, you see? Ahh But now we opened it, see, now the blood is flowing and supplying this entire area. We were successful, ok? Thank God. More than one hour. A long diseased segment, we had to put in a pretty long stent. So it was quite a bit of work for us to be able to cross, a very large diseased segment. But the final result turned out very well, I think the patient will benefit from this. How are you? Are you sleepy? A little. In the next episode, you will see how cigarettes weaken the heart and make it vulnerable to heart attacks.
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