Presentation
Within a week the patient re-presented with chest pain and troponin I of 38. Her INR on presentation was 3.2. On TTE, the MV mass had disappeared except for a residual stump (Panel B). [academic.oup.com]
Case Presentation: Our patient is a 69 years old Caucasian female with history of hyperlipidemia, hypertension, diabetes type 2 complicated with ESRD on hemodialysis, and hypothyroidism. Patient presented with symptoms of unstable angina. [shmabstracts.com]
We present a case of an 87-year-old female patient who suffered ischemic stroke and myocardial infarction at the same time and received intracranial and coronary thrombectomy. [ncbi.nlm.nih.gov]
Entire Body System
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Intermittent Fever
Case Report A 69-year-old male presented to the Mount Sinai Saint Luke's Emergency Department with intermittent fever and increased urinary frequency for 1 week. [najms.org]
Gastrointestinal
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Odynophagia
• A 35-year-old male patient was admitted because of dysphagia and odynophagia • A chest X-ray showed multiple cavitary lesions in both lungs and a CT- guided lung biopsy was requested for histopathological diagnosis. 22. [slideshare.net]
Cardiovascular
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Heart Disease
Subsequent chapters cover the effects of estrogens on the stages of atherogenesis, actions of estrogens on the on the vascular wall and on cardiovascular metabolic pathways, causes leading to the development of early onset of coronary heart disease in [books.google.com]
heart disease, two patients had mitral valve stenosis, and one patient had post-mitral valve replacement. [jtd.amegroups.com]
He underwent mitral valve replacement with a Medtronic valve (27mm) in June 2002 for severe mitral stenosis and regurgitation due to rheumatic heart disease. [jpma.org.pk]
Such cases should be handled at experienced centers with interventional cardiologists and/or structural heart disease specialist. [cureus.com]
Underlying diseases predisposing to coronary emboli included valvular heart disease (40%), myocardiopathy (29%), coronary atherosclerosis (16%), and chronic atrial fibrillation (24%). Mural thrombi were present in 18 (33%). [annals.org]
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Ejection Murmur
The physical exam revealed a grade II/VI systolic ejection murmur over the aortic valve area. [hindawi.com]
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Chest Pain Radiating to the Left Arm
Case report A 69-year-old woman with a history of diabetes mellitus, arterial hypertension, dyslipidemia and persistent AF previously treated with clopidogrel 75 mg, presented complaining of chest pain radiating to the left arm and shoulder, which started [hippokratia.gr]
Skin
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Splinter Hemorrhage
Splinter hemorrhages or Osler's nodes were absent. [najms.org]
Workup
As coronary emboli are a rarely reported phenomenon, no randomized trials or guidelines exist regarding diagnostic workup for these, although it would not be unreasonable to initiate workup for thrombophilia whenever appropriate diagnosis or suspicion [intechopen.com]
X-Ray
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Cavitary Lesion
• A 35-year-old male patient was admitted because of dysphagia and odynophagia • A chest X-ray showed multiple cavitary lesions in both lungs and a CT- guided lung biopsy was requested for histopathological diagnosis. 22. [slideshare.net]
Treatment
We report the case of a 51-year-old woman receiving endobronchial treatment with neodymium:yttrium garnet laser After 30 minutes of stable anaesthesia and laser treatment, sudden inferior myocardial ischaemia developed followed by haemodynamic collapse [ncbi.nlm.nih.gov]
Prognosis
Its prevalence, clinical features, and prognosis remain insufficiently characterized. METHODS AND RESULTS: We screened 1776 consecutive patients who presented with de novo acute myocardial infarction between 2001 and 2013. [ncbi.nlm.nih.gov]
Long-term prognosis of patients presenting with ST-segment elevation myocardial infarction with no significant coronary artery disease (from the HORIZONS-AMI trial). Am J Cardiol. 2013; 111: 643-648. [scielo.org.mx]
Identifying these causes is important, Popovic explained, because this raises the possibility of using “effective therapies that otherwise may not have been considered and that may affect prognosis.” [tctmd.com]
Percutaneous embolectomy has also been attempted in the past. [11] Continuous daily antiplatelet therapy before hospitalization for IE has shown to decrease embolic events. [12] Good prognosis can be achieved with surgery in patients with native valve [najms.org]
Ann Thorac Surg. 2013, 96:1390–1397. 10.1016/j.athoracsur.2013.05.004 Shibata T, Kawakami S, Noguchi T, et al.: Prevalence, clinical features, and prognosis of acute myocardial infarction attributable to coronary artery embolism. [cureus.com]
Etiology
The presumed etiology of thromboembolism was idiopathic cardiomyopathy. A unique method of treatment with Fogarty catheter retrieval was used. [ncbi.nlm.nih.gov]
Of these, atrial fibrillation is thought to be the most common etiology of coronary emboli, though there are few cases reported in the literature. [hindawi.com]
Case Presentation: A 68-year-old man with a history of atrial flutter and recurrent gastrointestinal (GI) bleeds (GIBs) with no clear etiology identified presented for planned direct current synchronized cardioversion. [shmabstracts.com]
An association with infectious etiology may be present as well in this context [32]. 5. [intechopen.com]
In summary, coronary embolism secondary to prosthetic valve is an uncommon etiology of myocardial infarction. [jpma.org.pk]
Epidemiology
Epidemiologic assessment of chronic atrial fibrillation and risk of stroke: the Framingham study. Neurology. 1978; 28: 973-977. Links 5 Bekwelem W, Connolly SJ, Halperin JL, Adabag S, Duval S, Chrolavicius S et al. [scielo.org.mx]
Epidemiologic assessment of chronic atrial fibrillation and risk of stroke: the Framingham study. Neurology. 1978; 28: 973-977. Bekwelem W, Connolly SJ, Halperin JL, Adabag S, Duval S, Chrolavicius S et al. [medigraphic.com]
The epidemiology of venous thromboembolism. Circulation. 2003;107(23)(suppl 1):I4-I8. 66 Heit JA, Silverstein MD, Mohr DN, Petterson TM, O'Fallon WM, Melton LJ 3rd. [nataspin.lt]
Chugh SS, Blackshear JL, Shen WK, Hammill SC, Gersh BJ Epidemiology and natural history of atrial fibrillation: clinical implications. J Am Coll Cardiol. 2001 ; 37 :371–378. Crossref Medline Google Scholar 18. [circ.ahajournals.org]
2] Blockage of arteries that supply arms or legs may result in necrosis and gangrene [1] Temporary or permanent decrease or loss of other organ functions [2] In septic embolism, there can be infection of the affected tissue or even septic shock, [2] Epidemiology [en.wikipedia.org]
Pathophysiology
Angiographic appearance (localized filling defect on coronary angiography) combined with her past history of undertreated AF was highly suggestive of coronary artery embolus related to AF as the underline pathophysiology of STEMI. [hippokratia.gr]
Mechanisms and pathophysiology Coronary emboli may originate in the left or right side of the heart [14, 15]. [intechopen.com]
Electronic Library of Scientific Literature Volume 98 / No. 7-8 / 1997 UNSTABLE ATHEROSCLEROTIC PLAQUE AND ACUTE CORONARY SYNDROMES PATHOPHYSIOLOGICAL ASPECTS OF SUDDEN CARDIAC DEATH IN ISCHAEMIC HEART DISEASE PATHOPHYSIOLOGICAL AND CLINICAL DATA FOR [sav.sk]
States of increased oxygen demand or decreased supply, as described in Pathophysiology, may cause angina. [healio.com]
Prevention
Measures to prevent recurrence should be considered. Optimum therapeutic strategy in preventing recurrent embolic events in patients with PFO is not established. [ncbi.nlm.nih.gov]