[Multiple coronary embolisms in a woman with risk factors for thromboembolic disease].
We report the case of a 33-years-old woman, smoker and taking oral contraceptives, who presented to the emergency room with an anterior ST-elevation myocardial infarction. Thrombolytic treatment was initiated and a few minutes after, chest pain returned and an inferior ST-segment-elevation infarction was diagnosed at that moment. Catheterization revealed multiple embolic occlusion of coronary branches. We discuss tests performed and pathophysiology of myocardial infarction in this patient.
Antorrena Miranda
Isabel
I
Servicio de Cardiología. Clínica Puerta de Hierro. Madrid. España. iantorrena@hotmail.com
Arroyo Esplieguero
Ramón
R
Carneado Ruiz
Joaquín
J
Alonso García
Angeles
A
Oteo Domínguez
Juan F
JF
Jiménez Ortiz
Carlos
C
D000328:Adult; D003276:Contraceptives, Oral / Q000008:administration & dosage; D017023:Coronary Angiography; D003327:Coronary Disease / Q000150:complications / Q000175:diagnosis*; D003328:Coronary Thrombosis / Q000209:etiology; D004452:Echocardiography; D004617:Embolism / Q000150:complications / Q000175:diagnosis*; D005260:Female; D006801:Humans; D009203:Myocardial Infarction / Q000209:etiology / Q000628:therapy; D012307:Risk Factors; D012907:Smoking / Q000009:adverse effects
D003276:Contraceptives, Oral