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July 25, 2022Nippon Ronen Igakkai Zasshi Japanese Journal of GeriatricsOpen Access

The case of an octogenarian who died of acute myocardial infarction complicated with acute pulmonary embolism from a right ventricular thrombus

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Key result

An 80-year-old female with acute anterior wall myocardial infarction developed a large right ventricular thrombus leading to fatal acute pulmonary embolism despite rapid anticoagulant therapy.

Why the study?

Co-occurrence of acute myocardial infarction and pulmonary embolism originating from a right ventricular thrombus is very rare.

Population

An 86-year-old female on dialysis with acute myocardial infarction

Design

Case report

Authors

TOTetsuya OchiaiTokyo Medical University HospitalMHMichiaki HigashitaniTokyo Teishin HospitalSOSatoko OokoshiTokyo Medical University Hospital

Discussion

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Implication

Highlights rare fatal RV thrombus in elderly dialysis AMI; leaves open optimal antithrombotic strategies.

Study Design

Type

Case Report (n=1)

Structured PICO

P
Population
An 80-year-old female on dialysis who presented with acute myocardial infarction and subsequently died from acute pulmonary embolism originating from a right ventricular thrombus.
I
Intervention
Coronary angiography and stenting at left anterior descending artery, followed by anticoagulant therapy and non-invasive positive pressure ventilation
O
Outcome
Clinical course and survivalhard clinical

This case highlights a rare presentation of acute myocardial infarction complicated by acute pulmonary embolism originating from a right ventricular thrombus.

Cite This Study

Ochiai et al. (2022) conducted a case report in Acute myocardial infarction complicated with acute pulmonary embolism (n=1). Coronary angiography and stenting was evaluated. An 80-year-old female with acute anterior wall myocardial infarction developed a large right ventricular thrombus leading to fatal acute pulmonary embolism despite rapid anticoagulant therapy.

synapsesocial.com/papers/6a5bebdeec0f450dc43afb3ahttps://doi.org/10.3143/geriatrics.59.371

Topics

Pulmonary embolism
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Right ventricular thrombus and pulmonary embolism in patient with anterior myocardial infarction2010 · 12 citations
  2. 2Clinical Characteristics of Patients with a Right Ventricular Thrombus in Arrhythmogenic Right Ventricular Cardiomyopathy2019 · 22 citations
  3. 3Left Ventricular Thrombus After Acute Myocardial Infarction2018 · 272 citations
  4. 4Temporal Trends in Acute Myocardial Infarction Incidence and Mortality Between 2006 and 2016 in Tokyo ― Report From the Tokyo CCU Network ―2019 · 39 citations
  5. 5Right Ventricular Infarction Associated with Pulmonary Embolism2019 · 2 citations