Rare Presentation of Deep Vein Thrombosis and Submassive Pulmonary Emboli Due to Hypercoagulable State With Supratherapeutic Anticoagulation

We present a case of an elderly male with multiple co-morbidities, including atrial fibrillation on warfarin and recently diagnosed left lower extremity deep vein thrombosis (DVT), who presented to the emergency department for dyspnea. He was found to be hypoxic and mildly hypotensive. He was diagno...

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Detalles Bibliográficos
Autores principales: Rivera-Morales, Mark D, Wu, Jesse C, Dub, Larissa, Ganti, Latha
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2021
Materias:
Emergency Medicine
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8449517/
https://www.ncbi.nlm.nih.gov/pubmed/34552835
http://dx.doi.org/10.7759/cureus.17300
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author Rivera-Morales, Mark D
Wu, Jesse C
Dub, Larissa
Ganti, Latha
author_facet Rivera-Morales, Mark D
Wu, Jesse C
Dub, Larissa
Ganti, Latha
author_sort Rivera-Morales, Mark D
collection PubMed
description We present a case of an elderly male with multiple co-morbidities, including atrial fibrillation on warfarin and recently diagnosed left lower extremity deep vein thrombosis (DVT), who presented to the emergency department for dyspnea. He was found to be hypoxic and mildly hypotensive. He was diagnosed with submassive pulmonary emboli (PE) despite having a supratherapeutic international normalized ratio (INR). In this case report, the clinical presentation, diagnostic workup, and management of this patient are discussed.
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spelling pubmed-84495172021-09-21 Rare Presentation of Deep Vein Thrombosis and Submassive Pulmonary Emboli Due to Hypercoagulable State With Supratherapeutic Anticoagulation Rivera-Morales, Mark D Wu, Jesse C Dub, Larissa Ganti, Latha Cureus Emergency Medicine We present a case of an elderly male with multiple co-morbidities, including atrial fibrillation on warfarin and recently diagnosed left lower extremity deep vein thrombosis (DVT), who presented to the emergency department for dyspnea. He was found to be hypoxic and mildly hypotensive. He was diagnosed with submassive pulmonary emboli (PE) despite having a supratherapeutic international normalized ratio (INR). In this case report, the clinical presentation, diagnostic workup, and management of this patient are discussed. Cureus 2021-08-19 /pmc/articles/PMC8449517/ /pubmed/34552835 http://dx.doi.org/10.7759/cureus.17300 Text en Copyright © 2021, Rivera-Morales 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 Emergency Medicine
Rivera-Morales, Mark D
Wu, Jesse C
Dub, Larissa
Ganti, Latha
Rare Presentation of Deep Vein Thrombosis and Submassive Pulmonary Emboli Due to Hypercoagulable State With Supratherapeutic Anticoagulation
title Rare Presentation of Deep Vein Thrombosis and Submassive Pulmonary Emboli Due to Hypercoagulable State With Supratherapeutic Anticoagulation
title_full Rare Presentation of Deep Vein Thrombosis and Submassive Pulmonary Emboli Due to Hypercoagulable State With Supratherapeutic Anticoagulation
title_fullStr Rare Presentation of Deep Vein Thrombosis and Submassive Pulmonary Emboli Due to Hypercoagulable State With Supratherapeutic Anticoagulation
title_full_unstemmed Rare Presentation of Deep Vein Thrombosis and Submassive Pulmonary Emboli Due to Hypercoagulable State With Supratherapeutic Anticoagulation
title_short Rare Presentation of Deep Vein Thrombosis and Submassive Pulmonary Emboli Due to Hypercoagulable State With Supratherapeutic Anticoagulation
title_sort rare presentation of deep vein thrombosis and submassive pulmonary emboli due to hypercoagulable state with supratherapeutic anticoagulation
topic Emergency Medicine
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8449517/
https://www.ncbi.nlm.nih.gov/pubmed/34552835
http://dx.doi.org/10.7759/cureus.17300
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