This case highlights the classical electrocardiogram findings of simultaneous acute anterior myocardial infarction and atrial fibrillation.
Nonadherence to apixaban and lisinopril may precipitate ACS in elderly AF; single case leaves open adherence strategies.
A 91-year-old female with a history of hypertension and atrial fibrillation presented to the emergency department with complaints of dyspnea and severe substernal chest pain that began 1 hour prior to presentation. She described the pain as tight and radiating to her left shoulder. The patient’s current medications included oral Apixaban and Lisinopril, but she was non-compliant with her medications.
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Anombem et al. (2022) studied this question.
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