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2.1
Coronary Artery Embolism
Coronary Embolism

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]

The patient initially presented with a sudden onset of crescendo substernal chest pressure starting one day prior to presentation. [cureus.com]

Entire Body System

  • 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]

    Fever, a severe headache on one side of the head, and jaw pain when chewing can be symptoms. Carotid hypersensitivity syndrome: In a few people, applying pressure to the carotid sinus can cause fainting from a sudden drop in blood pressure. [webmd.com]

    […] pressure Diabetes Increased blood lipids – high LDL, low HDL Tobacco smoking Sedentary lifestyle Obesity Getting older Increased platelet counts Patent foramen ovale – a congenital heart condition Atrial fibrillation Mitral stenosis – related to rheumatic fever [belmarrahealth.com]

    The patient was also educated on prophylaxis measures against infective endocarditis and rheumatic fever. [jpma.org.pk]

    People with deep phlebitis tend to have a fever. Nuclear scans, venous Doppler flow studies, or the use of a blood pressure cuff around the leg to measure blood flow (plethysmography) will usually confirm if the deep veins are involved. [texasheart.org]

  • Surgical Procedure

    Surgical procedures include: Arterial bypass: Creates a second source of blood supply to the affected region. Embolectomy: Directly removes the clot. Angioplasty: Done via balloon catheterization with or without stent placement. [belmarrahealth.com]

    procedures include: Arterial bypass surgery to create another source of blood supply [2] Embolectomy, to remove the embolus, with various techniques available: Thromboaspiration [2] Angioplasty with balloon catheterization with or without implanting [en.wikipedia.org]

    Factors that predispose a patient to this condition include: (1) stasis of blood flow, as in a patient who is on prolonged bed rest, is immobilized for some reason, or is aged, obese, or suffering from a burn; (2) venous injury, as from surgical procedures [medical-dictionary.thefreedictionary.com]

    Incidence of symptomatic venous thromboembolism after different elective or urgent surgical procedures. Thromb Haemost. 2003;90(3):446-455. 59 Planes A, Vochelle N, Darmon JY, Fagola M, Bellaud M, Huet Y. [nataspin.lt]

Gastrointestinal

  • Nausea

    Symptoms for coronary artery disease •Angina •Palpitations •Sweating •Weakness •Shortness of breath •Rapid heartbeat •Dizziness •Nausea 12. [slideshare.net]

    Embolism in the coronary artery of the heart : Chest pain, nausea, vomiting, sweating, pain radiating to the left arm associated with anxiety. [belmarrahealth.com]

    For example, symptoms of myocardial infarction mainly include chest pain, dyspnea, diaphoresis (an excessive form of sweating ), weakness, light-headedness, nausea, vomiting, and palpitations. [en.wikipedia.org]

    Other symptoms include: Nausea, vomiting, sweating, pain radiating to the left arm associated with anxiety An embolus in the brain may affect the function, the affected part controls. This includes the ability to move, think, speak, and touch. [dovemed.com]

    Some associated symptoms that occur simultaneously with the classic anginal symptoms above include dyspnea, diaphoresis (cold sweats), fatigue/weakness, nausea and dizziness. [healio.com]

  • Vomiting

    Symptoms Shortness of breath that comes on suddenly Chest pain that gets worse when you breathe deeply or cough Coughing or vomiting blood When to See a Doctor If you experience symptoms of pulmonary embolism, call 911 and get medical help immediately [intermountainhealthcare.org]

    Other symptoms of bleeding to watch for include: Signs of bleeding in the digestive system: Bright red vomit or vomit that looks like coffee grounds Bright red blood in your stool or black, tarry stools Abdominal pain Signs of bleeding in the brain: Severe [cedars-sinai.edu]

    Embolism in the coronary artery of the heart : Chest pain, nausea, vomiting, sweating, pain radiating to the left arm associated with anxiety. [belmarrahealth.com]

    For example, symptoms of myocardial infarction mainly include chest pain, dyspnea, diaphoresis (an excessive form of sweating ), weakness, light-headedness, nausea, vomiting, and palpitations. [en.wikipedia.org]

    Other symptoms include: Nausea, vomiting, sweating, pain radiating to the left arm associated with anxiety An embolus in the brain may affect the function, the affected part controls. This includes the ability to move, think, speak, and touch. [dovemed.com]

Cardiovascular

  • Heart Disease

    heart disease, two patients had mitral valve stenosis, and one patient had post-mitral valve replacement. [jtd.amegroups.com]

    diseases I24.0 Acute coronary thrombosis not resulting in myocardial infarction I24.1 Dressler's syndrome I24.8 Other forms of acute ischemic heart disease I24.9 Acute ischemic heart disease, unspecified I25 Chronic ischemic heart disease I25.1 Atherosclerotic [icd10data.com]

    […] young women (such as vasculitis and autoimmune diseases)[Obaid ur Rahman1], hypercoagulable states, myocardial infarction in hallucinogenic drug abusers, non-atherosclerotic and atherosclerotic coronary heart disease, hormone replacement therapy and [books.google.com]

    If any one of these arteries gets blocked partially or completely, the blood flow to the heart will be reduced. This condition is called as Coronary artery disease or coronary heart disease 4. [slideshare.net]

    The most common form of heart disease is coronary artery disease (CAD), a narrowing of the arteries that supply blood and oxygen to the heart. [snmmi.org]

  • Decompression Sickness

    Signs of pulmonary barotrauma or type II decompression sickness may also be present. [merckmanuals.com]

    Also, rapid ascent in the jump aircraft without all nitrogen flushed from the bloodstream can lead to decompression sickness (also known as caisson disease or the bends). [fi.bab.la]

    sickness. cerebral embolism embolism of a cerebral artery. coronary embolism embolism of a coronary artery. fat embolism obstruction by a fat embolus, occurring especially after fractures of large bones. miliary embolism embolism affecting many small [medical-dictionary.thefreedictionary.com]

Skin

  • Blister

    Fingers or hands feel cool Lack of movement in the arm or leg Muscle pain in the affected area Muscle spasm in the affected area Numbness and tingling in the arm or leg Pale color of the arm or leg (pallor) Weakness of an arm or leg Later symptoms: Blisters [medlineplus.gov]

Neurologic

  • Convulsions

    Symptoms Findings often include agitation, restlessness, delirium, convulsions, coma, tachycardia, tachypnea, dyspnea, wheezing, blood-tinged sputum, and fever, esp. during the first 12 to 72 hr after injury or insult, when fat emboli are most likely [medical-dictionary.thefreedictionary.com]

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]

QT, RR, ST Intervals

  • ST Elevation

    Electrocardiogram demonstrated AF and ST-segment elevation in the anterolateral leads (Figure 1). [hippokratia.gr]

    CASE REPORT A 22-year-old woman was taken to the catheterization lab for early coronary intervention in lieu of non-ST elevation myocardial infarction. [ncbi.nlm.nih.gov]

    An electrocardiogram revealed ST elevations in the inferior leads (II, III, aVF) consistent with an inferior ST-elevation myocardial infarction (STEMI). [shmabstracts.com]

    Native aortic valve thrombosis: an unusual cause of acute ST-elevation myocardial infarction. Cardiovasc Pathol. 2013;22(3):e23-e26. 4. Shah NC Munir SM Alp NJ. [content.sciendo.com]

    Coronary thrombus in ST elevation myocardial infarction and atrial fibrillation. J Thromb Thrombolysis. 2013; 35: 119-122. Hideko H, Dote K, Kato M, Kato M, Sasaki S, Oda N et al. [medigraphic.com]

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]

Coronary angiography plays an important role in the etiology diagnosis and treatment of AMI (2). [jtd.amegroups.com]

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]

The prognosis in patients surviving the initial event is generally believed to be favorable. In patients who remain stable, conservative management seems to be safe and is compatible with a good long-term outcome. [journals.lww.com]

(Outcomes/Resolutions) The prognosis of Arterial Embolism depends on the location of the clot and the severity of the block. [dovemed.com]

The time it takes to receive treatment after the onset of blood clot symptom is paramount for improving prognosis, with sooner being better. [belmarrahealth.com]

Patients with ECG detected UMI have a similar long-term prognosis as patients with clinically recognized MIs [ 1 ]. [journals.plos.org]

Etiology

The presumed etiology of thromboembolism was idiopathic cardiomyopathy. A unique method of treatment with Fogarty catheter retrieval was used. [ncbi.nlm.nih.gov]

An association with infectious etiology may be present as well in this context [32]. 5. [intechopen.com]

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]

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. Bekwelem W, Connolly SJ, Halperin JL, Adabag S, Duval S, Chrolavicius S et al. [medigraphic.com]

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]

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]

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

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]

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]

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]

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