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Acute ST Segment Elevation Myocardial Infarction and Massive Pericardial Effusion Due to Infective Endocarditis

Chest pain is a common complaint evaluated in the emergency department. While chest pain in a 22-year-old patient is typically a complaint of low acuity, high-acuity cases that rival those of the older patient population are well documented. We describe a case of complicated infective endocarditis i...

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Detalles Bibliográficos
Autores principales: Thompson, Maxwell, Pigott, David C., Gullett, John, Gibson, Blayke
Formato: Online Artículo Texto
Lenguaje:English
Publicado: University of California Irvine, Department of Emergency Medicine publishing Western Journal of Emergency Medicine 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5965413/
https://www.ncbi.nlm.nih.gov/pubmed/29849379
http://dx.doi.org/10.5811/cpcem.2016.12.32674
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author Thompson, Maxwell
Pigott, David C.
Gullett, John
Gibson, Blayke
author_facet Thompson, Maxwell
Pigott, David C.
Gullett, John
Gibson, Blayke
author_sort Thompson, Maxwell
collection PubMed
description Chest pain is a common complaint evaluated in the emergency department. While chest pain in a 22-year-old patient is typically a complaint of low acuity, high-acuity cases that rival those of the older patient population are well documented. We describe a case of complicated infective endocarditis in which point-of-care ultrasound (POCUS) aided the diagnosis of ST-elevation myocardial infarction secondary to a septic thrombus in a 22-year-old female with a history of intravenous drug use. Emergency physicians should be aware of the rare high-acuity cases as well as the impact of POCUS on rapid clinical assessment and treatment of patients of all ages presenting with chest pain.
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spelling pubmed-59654132018-05-30 Acute ST Segment Elevation Myocardial Infarction and Massive Pericardial Effusion Due to Infective Endocarditis Thompson, Maxwell Pigott, David C. Gullett, John Gibson, Blayke Clin Pract Cases Emerg Med Case Report Chest pain is a common complaint evaluated in the emergency department. While chest pain in a 22-year-old patient is typically a complaint of low acuity, high-acuity cases that rival those of the older patient population are well documented. We describe a case of complicated infective endocarditis in which point-of-care ultrasound (POCUS) aided the diagnosis of ST-elevation myocardial infarction secondary to a septic thrombus in a 22-year-old female with a history of intravenous drug use. Emergency physicians should be aware of the rare high-acuity cases as well as the impact of POCUS on rapid clinical assessment and treatment of patients of all ages presenting with chest pain. University of California Irvine, Department of Emergency Medicine publishing Western Journal of Emergency Medicine 2017-03-16 /pmc/articles/PMC5965413/ /pubmed/29849379 http://dx.doi.org/10.5811/cpcem.2016.12.32674 Text en © 2017 Thompson et al. http://creativecommons.org/licenses/by/4.0/ This is an open access article distributed in accordance with the terms of the Creative Commons Attribution (CC BY 4.0) License. See: http://creativecommons.org/licenses/by/4.0/
spellingShingle Case Report
Thompson, Maxwell
Pigott, David C.
Gullett, John
Gibson, Blayke
Acute ST Segment Elevation Myocardial Infarction and Massive Pericardial Effusion Due to Infective Endocarditis
title Acute ST Segment Elevation Myocardial Infarction and Massive Pericardial Effusion Due to Infective Endocarditis
title_full Acute ST Segment Elevation Myocardial Infarction and Massive Pericardial Effusion Due to Infective Endocarditis
title_fullStr Acute ST Segment Elevation Myocardial Infarction and Massive Pericardial Effusion Due to Infective Endocarditis
title_full_unstemmed Acute ST Segment Elevation Myocardial Infarction and Massive Pericardial Effusion Due to Infective Endocarditis
title_short Acute ST Segment Elevation Myocardial Infarction and Massive Pericardial Effusion Due to Infective Endocarditis
title_sort acute st segment elevation myocardial infarction and massive pericardial effusion due to infective endocarditis
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5965413/
https://www.ncbi.nlm.nih.gov/pubmed/29849379
http://dx.doi.org/10.5811/cpcem.2016.12.32674
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