[Coronary embolus and acute myocardial infarction in a patient with dilated cardiomyopathy and chronic atrial fibrillation].
We report the case of an acute myocardial infarction due to coronary embolism in a patient with dilated cardiomyopathy and permanent atrial fibrillation. The patient underwent thrombectomy and stenting. The authors discuss the acute treatment in this clinical situation and the problem of dual antiplatelet therapy in patients with an indication for long-term oral anticoagulation undergoing percutaneous coronary intervention and stenting.
Canali
Guido
G
Divisione di Cardiologia, Ospedale Sacro Cuore-Don Calabria, Negrar, VR. guido.canali@sacrocuore.it
Girardi
Paolo
P
Barbieri
Enrico
E
D000284:Administration, Oral; D000368:Aged; D000369:Aged, 80 and over; D015906:Angioplasty, Balloon, Coronary; D000925:Anticoagulants / Q000008:administration & dosage / Q000627:therapeutic use; D001281:Atrial Fibrillation / Q000150:complications*; D002311:Cardiomyopathy, Dilated / Q000150:complications*; D002908:Chronic Disease; D017023:Coronary Angiography; D003325:Coronary Care Units; D003327:Coronary Disease / Q000150:complications* / Q000000981:diagnostic imaging; D004452:Echocardiography; D004562:Electrocardiography; D004617:Embolism / Q000150:complications* / Q000000981:diagnostic imaging; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D009203:Myocardial Infarction / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy*; D015607:Stents; D017131:Thrombectomy; D013997:Time Factors; D016896:Treatment Outcome
D000925:Anticoagulants