CONCURRENT PULMONARY EMBOLISM AND ACUTE MYOCARD INFARCTION: A CASE REPORT

• Published in: Journal of emergency medicine case reports 2020-10, Vol.11 (2), p.49-52
• Main Authors: ACAR, Ethem, DEMİR, Ahmet, YILDIRIM, Birdal, KAYA, Gokhan
• Format: Article
• Language: English
• ISSN: 2149-9934; 2149-9934
• DOI: 10.33706/jemcr.698491

İntroduction: Pulmonary embolism and ST-elevation MI are both life threatening diseases. Although rare, concomitant pulmonary embolism and myocardial infarction pose even greater risk. Here we aimed to report a case of ST-elevation acute coronary syndrome developing one hour after diagnosis of pulmonary embolism. Case-Report: A 48-year-old male patient with known coronary artery disease had admitted for chest pain and dyspnea. He had got deep vein thrombosis in 10 days prior to this presentation. There wasn’t ST elevation on his electrocardiogram. Pulmonary embolism was detected in the pulmonary CT angiography taken to the patient. The ECG was repeated after the patient, whose treatment was started, had new chest pain and sweating. The patient, whose ST elevation was detected in the inferior leads in the new ECG, was taking in to PCI. The patient, who had a stent in RCA, left the hospital voluntarily on the 3rd day of his admission to the coronary intensive care unit from where he was hospitalized with the diagnosis of ACS and PTE. In conclusion, it should be kept in mind that these two conditions may be present in patients presenting with complaints suggesting both AKS and PTE such as chest pain and shortness of breath.