Acute Myocardial Infarction and Massive Pulmonary Embolus Presenting as Cardiac Arrest : Initial Rhythm as a Diagnostic Clue
Joint Authors
Bhatia, Nirmanmoh
Ikram, Sohail
Vongooru, Haree
Source
Journal of Biomedicine and Biotechnology
Issue
Vol. 2013, Issue 2013 (31 Dec. 2013), pp.1-4, 4 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2013-07-14
Country of Publication
Egypt
No. of Pages
4
Main Subjects
Abstract 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.
American Psychological Association (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
Modern Language Association (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
American Medical Association (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
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-464433