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Coronary Artery Embolism

Coronary Embolism


Presentation

  • 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]
  • We present the case of a 77 year-old male patient diagnosed with ST-segment elevation myocardial infarction of anterior wall due to coronary embolism secondary to paroxysmal atrial fibrillation.[ncbi.nlm.nih.gov]
  • We present a case of a previously healthy 44-year-old woman with no cardiovascular risk factors who developed acute myocardial infarction caused by coronary artery embolism from a blood cyst of the anterior mitral valve leaflet.[ncbi.nlm.nih.gov]
  • We describe the case of a young woman who presented with a severe cough and chest pain who was subsequently found to have a paradoxical embolus in the right coronary artery.[ncbi.nlm.nih.gov]
  • 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]
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]
Liver Dysfunction
  • We also assessed the risk of bleeding using the HAS-BLED score. 25 The HAS-BLED scoring system assigns 1 point each for HT, renal dysfunction, liver dysfunction, stroke, bleeding history, labile international normalized ratio, age 65 years, drug concomitantly[circ.ahajournals.org]
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]
  • 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]
  • 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]
  • The unexpectedly higher mortality rates in the CE group may be related to comorbidities (ie, cardiomyopathy or valvular heart disease).[circ.ahajournals.org]
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]
Splinter Hemorrhage
  • Splinter hemorrhages or Osler's nodes were absent.[najms.org]

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]
  • The treatment consists of aggressive anticoagulation, antiplatelet therapy, and interventional options, including simple wiring when possible.[ncbi.nlm.nih.gov]
  • A unique method of treatment with Fogarty catheter retrieval was used.[ncbi.nlm.nih.gov]
  • The treatment of acute coronary syndrome in the presence of septic embolism is controversial.[ncbi.nlm.nih.gov]
  • The treatment for this specific group of patients needs to be tailored individually.[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]
  • 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]
  • Prevalence, Clinical Features, and Prognosis of Acute Myocardial Infarction Attributable to Coronary Artery Embolism. Circulation. 2015; 132: 241-250. 3. Procter NE, Stewart S, Horowitz JD.[hippokratia.gr]
  • Long-Term Prognosis of CE The 5-year rate of thromboembolism including CE recurrence was 8.7% and the 5-year rate of MACCE was 27.1% in the present study population ( Figure 4 ).[circ.ahajournals.org]
  • (Outcomes/Resolutions) The prognosis of Arterial Embolism depends on the location of the clot and the severity of the block.[dovemed.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]
  • 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]
  • Although the primary cause of acute coronary syndrome is atherosclerotic disease, it is imperative to consider septic embolism as an etiological factor.[najms.org]
  • This is a controversial topic, as no clear etiology has been seen.[healio.com]

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]
  • 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]
  • 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 aim of this study was to describe the epidemiological, clinical, microbiological, and echocardiographic characteristics of patients with ACS caused by endocarditis, as well as the course of ACS, and to propose a treatment plan for these patients.[revespcardiol.org]
Sex distribution
Age distribution

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]
  • States of increased oxygen demand or decreased supply, as described in Pathophysiology , may cause angina.[healio.com]
  • The clot can then move to an artery and cause arterial embolisation. [2] Pathophysiology [ edit ] An arterial embolism is caused by one or more emboli getting stuck in an artery and blocking blood flow, causing ischemia, possibly resulting in infarction[en.wikipedia.org]
  • The pathophysiological mechanisms causing UMIs are not completely understood, but there is a statistically significant association between UMI and the extent and severity of CAD [ 6, 14 ].[journals.plos.org]

Prevention

  • Coverage begins with a review of risk factors and prevention, emphasizing lipid abnormalities, hypertension, smoking, diabetes, and obesity.[books.google.com]
  • In this context, primary prevention in the form of patient education on optimal anticoagulation with oral vitamin K antagonist and medical advice about imminent thromboembolic risks are of extreme importance.[ncbi.nlm.nih.gov]
  • Prevention Embolism can be prevented in high risk patients through antithrombotic drugs such as heparin, venous interruption, gradient elastic stockings, and intermittent pneumatic compression of the legs.[medical-dictionary.thefreedictionary.com]
  • Guidelines are also presented in a chronological context which demonstrates the development of cardiovascular disease prevention and risk management strategies for women over the years.[books.google.com]
  • In addition to treatment of acute coronary event closure of the PFO should be considered to prevent a recurrence. No References No Citations No Supplementary Data No Article Media No Metrics[ingentaconnect.com]

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