The Pivotal Role of Effective Communication in Patient Care: A Case of Coronary Stent Thrombosis.
Kofi Tekyi AsamoahPublished in: Journal of patient experience (2021)
Myocardial infarction is a significant cause of morbidity and mortality worldwide, resulting in millions of percutaneous coronary interventions being performed yearly. Coronary artery stents are, however, at risk of thrombosis, with a significant mortality rate. Stent thrombosis is, however, preventable using dual antiplatelets, barring other procedural or unique personal predisposing characteristics. Good communication with patients is indispensable in ensuring adherence to dual antiplatelet therapy, protecting the patient from stent thrombosis. This paper presents a patient who discontinued his dual antiplatelet therapy prematurely and developed stent thrombosis within a week after discharge, highlighting the importance of good communication in promoting adherence to an agreed management plan.
Keyphrases
- antiplatelet therapy
- coronary artery
- pulmonary embolism
- percutaneous coronary intervention
- acute coronary syndrome
- coronary artery disease
- end stage renal disease
- pulmonary artery
- ejection fraction
- case report
- chronic kidney disease
- heart failure
- risk factors
- clinical trial
- emergency department
- prognostic factors
- cardiovascular events
- physical activity
- randomized controlled trial
- minimally invasive
- left ventricular
- ultrasound guided
- adverse drug