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The Simultaneous Occurrence of Acute ST-Elevation Myocardial Infarction, Acute Ischemic Stroke, and Pulmonary Embolism

Acute ST-elevation myocardial infarction (STEMI), acute ischemic stroke (AIS), and acute pulmonary embolism (PE) are life-threatening conditions, each posing a high risk of morbidity and mortality. When all three of these acute conditions occur simultaneously, the overall prognosis for the patient b...

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Autores principales: Lodeen, Homayoon, Esmati, Saliman, Okan, Tetyana, Arastu, Azeem, Vilendecic, Dora, Singh, Gagandeep, Mangla, Aditya, Moshayedi, Pouria, Lasic, Zoran
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10522405/
https://www.ncbi.nlm.nih.gov/pubmed/37767245
http://dx.doi.org/10.7759/cureus.44222
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author Lodeen, Homayoon
Esmati, Saliman
Okan, Tetyana
Arastu, Azeem
Vilendecic, Dora
Singh, Gagandeep
Mangla, Aditya
Moshayedi, Pouria
Lasic, Zoran
author_facet Lodeen, Homayoon
Esmati, Saliman
Okan, Tetyana
Arastu, Azeem
Vilendecic, Dora
Singh, Gagandeep
Mangla, Aditya
Moshayedi, Pouria
Lasic, Zoran
author_sort Lodeen, Homayoon
collection PubMed
description Acute ST-elevation myocardial infarction (STEMI), acute ischemic stroke (AIS), and acute pulmonary embolism (PE) are life-threatening conditions, each posing a high risk of morbidity and mortality. When all three of these acute conditions occur simultaneously, the overall prognosis for the patient becomes considerably worse. We report a case of a 70-year-old woman who presented to the emergency department (ED) with a triad of acute STEMI, AIS, and PE as a consequence of atherosclerotic heart disease, atrial fibrillation, and a prolonged transatlantic flight. The diagnoses were promptly confirmed through emergent coronary and cerebral angiography, along with a computerized tomography pulmonary angiogram (CTPA). The patient underwent a combination of medical therapy and endovascular thrombectomy. However, she later developed a subarachnoid hemorrhage and eventually progressed to brain death.
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spelling pubmed-105224052023-09-27 The Simultaneous Occurrence of Acute ST-Elevation Myocardial Infarction, Acute Ischemic Stroke, and Pulmonary Embolism Lodeen, Homayoon Esmati, Saliman Okan, Tetyana Arastu, Azeem Vilendecic, Dora Singh, Gagandeep Mangla, Aditya Moshayedi, Pouria Lasic, Zoran Cureus Cardiology Acute ST-elevation myocardial infarction (STEMI), acute ischemic stroke (AIS), and acute pulmonary embolism (PE) are life-threatening conditions, each posing a high risk of morbidity and mortality. When all three of these acute conditions occur simultaneously, the overall prognosis for the patient becomes considerably worse. We report a case of a 70-year-old woman who presented to the emergency department (ED) with a triad of acute STEMI, AIS, and PE as a consequence of atherosclerotic heart disease, atrial fibrillation, and a prolonged transatlantic flight. The diagnoses were promptly confirmed through emergent coronary and cerebral angiography, along with a computerized tomography pulmonary angiogram (CTPA). The patient underwent a combination of medical therapy and endovascular thrombectomy. However, she later developed a subarachnoid hemorrhage and eventually progressed to brain death. Cureus 2023-08-27 /pmc/articles/PMC10522405/ /pubmed/37767245 http://dx.doi.org/10.7759/cureus.44222 Text en Copyright © 2023, Lodeen et al. https://creativecommons.org/licenses/by/3.0/This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Cardiology
Lodeen, Homayoon
Esmati, Saliman
Okan, Tetyana
Arastu, Azeem
Vilendecic, Dora
Singh, Gagandeep
Mangla, Aditya
Moshayedi, Pouria
Lasic, Zoran
The Simultaneous Occurrence of Acute ST-Elevation Myocardial Infarction, Acute Ischemic Stroke, and Pulmonary Embolism
title The Simultaneous Occurrence of Acute ST-Elevation Myocardial Infarction, Acute Ischemic Stroke, and Pulmonary Embolism
title_full The Simultaneous Occurrence of Acute ST-Elevation Myocardial Infarction, Acute Ischemic Stroke, and Pulmonary Embolism
title_fullStr The Simultaneous Occurrence of Acute ST-Elevation Myocardial Infarction, Acute Ischemic Stroke, and Pulmonary Embolism
title_full_unstemmed The Simultaneous Occurrence of Acute ST-Elevation Myocardial Infarction, Acute Ischemic Stroke, and Pulmonary Embolism
title_short The Simultaneous Occurrence of Acute ST-Elevation Myocardial Infarction, Acute Ischemic Stroke, and Pulmonary Embolism
title_sort simultaneous occurrence of acute st-elevation myocardial infarction, acute ischemic stroke, and pulmonary embolism
topic Cardiology
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10522405/
https://www.ncbi.nlm.nih.gov/pubmed/37767245
http://dx.doi.org/10.7759/cureus.44222
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