Multi-organ Thromboembolic Crisis: A Case Report of Concomitant Stroke, Myocardial Infarction, and Pulmonary Embolism

Management of acute coronary syndrome (ACS), cerebrovascular accident (CVA), and pulmonary embolism (PE) necessitates prompt intervention, as delayed treatment may lead to severe consequences. Each of these conditions presents significant challenges and carries a high risk of morbidity and mortality...

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Published in:Curēus (Palo Alto, CA) CA), 2024-06, Vol.16 (6), p.e63288
Main Authors: Gunaga, Satheesh, Fourtounis, Joanna V, Swan, Kirby W, Butler, Seth P, Al Hage, Abe
Format: Article
Language:English
Subjects:
Cancer therapies
Case reports
Electrocardiography
Emergency medical care
Heart attacks
Ischemia
Mortality
Nursing homes
Patients
Pulmonary arteries
Pulmonary embolisms
Stroke
Teams
Thromboembolism
Thrombosis
Tomography
Veins & arteries
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creator Gunaga, Satheesh
Fourtounis, Joanna V
Swan, Kirby W
Butler, Seth P
Al Hage, Abe
description Management of acute coronary syndrome (ACS), cerebrovascular accident (CVA), and pulmonary embolism (PE) necessitates prompt intervention, as delayed treatment may lead to severe consequences. Each of these conditions presents significant challenges and carries a high risk of morbidity and mortality. We present the case of an 86-year-old female with a history of stage 4 urothelial carcinoma metastasized to the lungs, who presented to the emergency department (ED) with acute ischemic stroke (AIS), ST-segment elevation myocardial infarction (STEMI), and bilateral PE. We propose the term "multi-organ thromboembolic crisis" (MOTEC) to streamline the communication and management approach for patients experiencing critical thromboembolic events affecting multiple organ systems.
doi_str_mv 10.7759/cureus.63288
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subjects Cancer therapies
Case reports
Electrocardiography
Emergency medical care
Heart attacks
Ischemia
Mortality
Nursing homes
Patients
Pulmonary arteries
Pulmonary embolisms
Stroke
Teams
Thromboembolism
Thrombosis
Tomography
Veins & arteries
title Multi-organ Thromboembolic Crisis: A Case Report of Concomitant Stroke, Myocardial Infarction, and Pulmonary Embolism
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