2021, Number 3
Pulmonary embolism simulating non-ST segment elevation acute coronary syndrome
Language: Spanish
References: 11
Page: 381-385
PDF size: 422.94 Kb.
ABSTRACT
Pulmonary embolism takes place as a consequence of the migration of a thrombus towards the pulmonary vascular tree. Patients frequently report chest pain that can mimic an acute coronary syndrome. We present the case of a 57-year-old patient who came to the emergency department with acute chest pain and dyspnea. He was diagnosed as a non-ST segment elevation acute coronary syndrome, due to the electrocardiographic changes that he presented at admission, but the echocardiographic findings showed increased pulmonary pressures, and the invasive coronary angiography, normal coronary arteries; therefore, a pulmonary angiography with multislice tomography was performed, which confirmed the diagnosis of bilateral pulmonary embolism.REFERENCES
Parra Gordo ML. Tromboembolismo pulmonar: estudio de tomografía computarizada pulmonar. Análisis de hallazgos y factores pronósticos. [Tesis de Doctorado]. Madrid: Hospital Universitario La Princesa [Internet]; 2016 [citado 7 Dic 2020]. Disponible en: https://repositorio.uam.es/bitstream/handle/10486/679012/parra_gordo_mariluz.pdf?sequence=1
Carrier M, Righini M, Wells PS, Perrier A, Anderson DR, Rodger MA, et al. Subsegmental pulmonary embolism diagnosed by computed tomography: incidence and clinical implications. A systematic review and meta-analysis of the management outcome studies. J Thromb Haemost. 2010;8(8):1716-22. DOI: https://doi.org/10.1111/j.1538-7836.2010.03938.x
Hernández Navas M, Pérez Barreda A, Selman-Housein Bernal K, Obregón Santos A, Quevedo Benítez A, de Zayas Galguera J. Tromboembolismo pulmonar o infarto de ventrículo derecho: Dilema clínico, a propósito de un caso. CorSalud [Internet]. 2015 [citado 17 Dic 2020];7(3):243-7. Disponible en: http://www.revcorsalud.sld.cu/index.php/cors/article/view/66