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Acute Myocardial Infarction and Massive Pulmonary Embolus Presenting as Cardiac Arrest : Initial Rhythm as a Diagnostic Clue
المؤلفون المشاركون
Bhatia, Nirmanmoh
Ikram, Sohail
Vongooru, Haree
المصدر
Journal of Biomedicine and Biotechnology
العدد
المجلد 2013، العدد 2013 (31 ديسمبر/كانون الأول 2013)، ص ص. 1-4، 4ص.
الناشر
Hindawi Publishing Corporation
تاريخ النشر
2013-07-14
دولة النشر
مصر
عدد الصفحات
4
التخصصات الرئيسية
الملخص EN
Myocardial infarction (MI) and massive pulmonary embolism (MPE) are common causes of cardiac arrest.
We present two cases with similar clinical presentation and EKG findings but different initial rhythms.
Case 1.
A 55-year-old African American male (AAM) was brought to the emergency room (ER) with cardiac arrest and pulseless electrical activity (PEA).
Twelve-lead electrocardiogram (EKG) was suggestive of ST segment elevations (STEs) in anterolateral leads.
Coronary angiogram did not reveal any significant obstruction.
An echocardiogram was suggestive of a pulmonary embolus (PE).
Autopsy revealed a saddle PE.
Case 2.
A 45-year-old AAM with a history of coronary artery disease was brought to the ER after ventricular fibrillation (VF) arrest.
Twelve-lead EKG was suggestive of STE in anterior leads.
Coronary angiogram revealed in-stent thrombosis.
In cardiac arrests, distinguishing the two major etiologies (MI and MPE) can be challenging.
PEA is more commonly associated with MPE versus MI due to near complete obstruction of pulmonary blood flow with an intact electrical conduction system.
MI is more commonly associated with VF as the electrical conduction system is affected more often by ischemia.
In conclusion, the previous cases illustrate that initial rhythm may be a vital diagnostic clue.
نمط استشهاد جمعية علماء النفس الأمريكية (APA)
Bhatia, Nirmanmoh& Vongooru, Haree& Ikram, Sohail. 2013. Acute Myocardial Infarction and Massive Pulmonary Embolus Presenting as Cardiac Arrest : Initial Rhythm as a Diagnostic Clue. Journal of Biomedicine and Biotechnology،Vol. 2013, no. 2013, pp.1-4.
https://search.emarefa.net/detail/BIM-464433
نمط استشهاد الجمعية الأمريكية للغات الحديثة (MLA)
Bhatia, Nirmanmoh…[et al.]. Acute Myocardial Infarction and Massive Pulmonary Embolus Presenting as Cardiac Arrest : Initial Rhythm as a Diagnostic Clue. Journal of Biomedicine and Biotechnology No. 2013 (2013), pp.1-4.
https://search.emarefa.net/detail/BIM-464433
نمط استشهاد الجمعية الطبية الأمريكية (AMA)
Bhatia, Nirmanmoh& Vongooru, Haree& Ikram, Sohail. Acute Myocardial Infarction and Massive Pulmonary Embolus Presenting as Cardiac Arrest : Initial Rhythm as a Diagnostic Clue. Journal of Biomedicine and Biotechnology. 2013. Vol. 2013, no. 2013, pp.1-4.
https://search.emarefa.net/detail/BIM-464433
نوع البيانات
مقالات
لغة النص
الإنجليزية
الملاحظات
Includes bibliographical references
رقم السجل
BIM-464433
قاعدة معامل التأثير والاستشهادات المرجعية العربي "ارسيف Arcif"
أضخم قاعدة بيانات عربية للاستشهادات المرجعية للمجلات العلمية المحكمة الصادرة في العالم العربي
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