Journal of the Korean Geriatrics Society  2014;18(4):251-255

doi:10.4235/jkgs.2014.18.4.251

Simultaneous Development of ST-Segment Elevation Myocardial Infarction and Pulmonary Embolism in an Healthy Elderly Woman.

Seung Hwan LEE 1 ; Hyun Seok KIM ; Dong Seok LEE ; Hong Min PARK ; Tae Keun LEE ; Yong Kyu LEE

Affiliations

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Keywords

Myocardial infarction; Pulmonary embolism; Antithrombotic agents; Percutaneous coronary intervention

Country

Republic of Korea

Language

Korean

MeSH

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.