J Korean Geriatr Soc.  2014 Dec;18(4):251-255. 10.4235/jkgs.2014.18.4.251.

Simultaneous Development of ST-Segment Elevation Myocardial Infarction and Pulmonary Embolism in an Healthy Elderly Woman

• Lee SH
• Kim HS
• Lee DS
• Park HM
• Lee TK
• Lee YK

• KMID: 2064157
• DOI: http://doi.org/10.4235/jkgs.2014.18.4.251

Abstract

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.

Keyword

Myocardial infarction; Pulmonary embolism; Antithrombotic agents; Percutaneous coronary intervention

MeSH Terms

Aged*
Angioplasty
Anticoagulants
Aspirin
Coronary Angiography
Coronary Vessels
Dyspnea
Electrocardiography
Emergency Service, Hospital
Female
Fibrinolytic Agents
Follow-Up Studies
Foot
Humans
Myocardial Infarction*
Percutaneous Coronary Intervention
Pulmonary Artery
Pulmonary Embolism*
Stents
Thorax
Thrombosis
Tomography, X-Ray Computed
Warfarin
Anticoagulants
Aspirin
Fibrinolytic Agents
Warfarin