| Simultaneous Development of ST-Segment Elevation Myocardial Infarction and Pulmonary Embolism in an Healthy Elderly Woman |
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Seung Hwan Lee, Hyun Seok Kim, Dong Seok Lee, Hong Min Park, Tae Keun Lee, Yong Kyu Lee |
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Department of Internal Medicine, Good Gang-an Hospital, Busan, Korea. goodganganim@gmail.com |
| 기저질환이 없는 노인에서 급성심근경색과 폐색전증이 동시에 발현한 1예 |
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이승환⦁김현석⦁이동석⦁박홍민⦁이태근⦁이용규 |
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좋은강안병원 내과 |
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| Abstract |
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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. |
| Key Words:
Myocardial infarction, Pulmonary embolism, Antithrombotic agents, Percutaneous coronary intervention |
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