Acute inferior ST-segment elevation myocardial infarction cryptogenic stroke caused by a paradoxical embolism with pulmonary embolism and previous a concomitant

A 61-year-old woman was hospitalized for a chief complaint of sudden chest tightness with sweating for two hours. The chest tightness and sweating occurred suddenly and without remission after a morning stool. Electrocardiography showed a complete atrioventricular （AV） block and arc-like elevation o...

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Bibliographic Details
Published in:老年心脏病学杂志：英文版 2017, Vol.14 (6), p.428-431
Main Author: Hong-Yu ZHANG Yan ZHANG Yan-Jun CAO Lian-Lian MEI Xia ZHANG Zhi-Guo WU Bao-Hua QIU Shu-Jing WANG
Format: Article
Language:English
Subjects:
伴随
反常
心肌梗死
急性
栓塞
肺
运动障碍
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Summary:A 61-year-old woman was hospitalized for a chief complaint of sudden chest tightness with sweating for two hours. The chest tightness and sweating occurred suddenly and without remission after a morning stool. Electrocardiography showed a complete atrioventricular （AV） block and arc-like elevation of the ST-segment in leads Ⅱ, Ⅲ, AVF, V7-V9, and V3R-V5R, at about 0.05-0. 15 mV. After being administered 1 mg of atropine in the emergency room （ER）, the patient was admitted to the cardiology department. The patient had been found in a cyanotic state two years previously, but did not receive any treatment; she was diagnosed with a transient ischemic attack （TIA） 1.5 years previously because of limb dyskinesia accompanied by slurred speech.
ISSN:1671-5411