Simultaneous Development of ST-Segment Elevation Myocardial Infarction and Pulmonary Embolism in an Healthy Elderly Woman.
10.4235/jkgs.2014.18.4.251
- Author:
Seung Hwan LEE
1
;
Hyun Seok KIM
;
Dong Seok LEE
;
Hong Min PARK
;
Tae Keun LEE
;
Yong Kyu LEE
Author Information
1. Department of Internal Medicine, Good Gang-an Hospital, Busan, Korea. goodganganim@gmail.com
- Publication Type:Case Report
- Keywords:
Myocardial infarction;
Pulmonary embolism;
Antithrombotic agents;
Percutaneous coronary intervention
- MeSH:
Aged*;
Angioplasty;
Anticoagulants;
Aspirin;
Coronary Angiography;
Coronary Vessels;
Dyspnea;
Electrocardiography;
Emergency Service, Hospital;
Female;
Fibrinolytic Agents;
Follow-Up Studies;
Foot;
Humans;
Myocardial Infarction*;
Percutaneous Coronary Intervention;
Pulmonary Artery;
Pulmonary Embolism*;
Stents;
Thorax;
Thrombosis;
Tomography, X-Ray Computed;
Warfarin
- From:Journal of the Korean Geriatrics Society
2014;18(4):251-255
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
A 73-year-old woman who presented with chest discomfort visited the emergency room. The 12-lead electrocardiography showed ST-segment elevation in II, III, and lead augmented vector foot. Emergent coronary angiography revealed a thrombus in the distal right coronary artery. Percutaneous coronary angioplasty with a stent was performed. After the procedure, persistent dyspnea occurred. Her chest computed tomography (CT) showed occlusion of the bilateral pulmonary artery. We could not find a source for the embolization or a hypercoagulable state. We started a course of dual antiplatelets with oral anticoagulants. Pulmonary embolism was resolved at follow-up chest CT scan. Aspirin, clopidogrel and warfarin were given for 6 months. The patient is doing well now 1 year after the episode.
