Why the study?
Acute myocardial infarction complicated by pulmonary embolism in the absence of paradoxical embolism from a patent foramen ovale is exceedingly rare.
This case highlights the rare but life-threatening co-occurrence of acute myocardial infarction and pulmonary embolism, emphasizing the need for prompt diagnosis and combined antithrombotic management in patients with suspected thrombophilia.
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Warrants vigilance for concurrent PE in STEMI; leaves open optimal regimens pending prospective data.
Thrombophilia denotes a condition, whether acquired or hereditary, characterized by increased susceptibility to hypercoagulation. This condition was first described in 1965, coinciding with the discovery of an inherited predisposition to venous thromboembolism (VTE) in patients deficient in antithrombin III. hile arterial and venous thrombosis are common in hospitalized patients, acute myocardial infarction (AMI) and pulmonary embolism (PE) stand out as lifethreatening conditions. However, the occurrence of AMI complicated by PE is exceedingly rare, especially when considering cases where paradoxical embolism originating from a patent foramen ovale is absent. This report presents a case of AMI complicated with PE. A comprehensive understanding of the pathophysiology of this rare yet critical condition is important for ensuring prompt diagnosis and treatment.
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Lin et al. (2024) studied this question.
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