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KMID : 0828520140180040251
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Journal of the Korean Geriatrics Society
2014 Volume.18 No. 4 p.251 ~ p.255
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Simultaneous Development of ST-Segment Elevation Myocardial Infarction and Pulmonary Embolism in an Healthy Elderly Woman
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Lee Seung-Hwan
Kim Hyun-Seok
Lee Dong-Seok
Park Hong-Min
Lee Tae-Keun
Lee Yong-Kyu
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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.
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KEYWORD
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Myocardial infarction, Pulmonary embolism, Antithrombotic agents, Percutaneous coronary intervention
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