ISSN 1016-5169 | E-ISSN 1308-4488
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What should be done in the event of simultaneous massive pulmonary embolism and myocardial infarction with ST elevation? [Turk Kardiyol Dern Ars]
Turk Kardiyol Dern Ars. 2015; 43(8): 734-738 | DOI: 10.5543/tkda.2015.43490

What should be done in the event of simultaneous massive pulmonary embolism and myocardial infarction with ST elevation?

Recep Akgedik1, Zeki Yüksel Günaydın2, Berna Botan Yıldırım1, Canan Eren Dağlı1, Osman Bektaş2
1Department of Chest Diseases, Ordu University Faculty of Medicine, Ordu, Turkey
2Department of Cardiology, Ordu University Faculty of Medicine, Ordu, Turkey

Massive pulmonary embolism (MPE) and acute myocardial infarction (AMI) are life-threatening conditions with well-known diagnosis and treatment. Symptoms and findings such as dyspnea, chest pain, hypotension, ECG changes and elevation of cardiac enzymes are seen in both diseases. However, MPE and AMI are rarely simultaneous in a single case. This report presents an 85-year-old patient with simultaneous MPE and AMI with ST elevation. While treatment strategies for both MPE and AMI have been adequately described, it is not clear which treatment to choose when both emergency pathologies occur simultaneously in one patient. This case report discusses the treatment of these two diseases in such a case.

Keywords: Pulmonary embolism, myocardial infarction, thrombolytic treatment

Corresponding Author: Recep Akgedik, Türkiye
Manuscript Language: English
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