| Paradoxical coronary embolism, a rare cause of acute myocardial infarction on positive pressure ventilation. | |
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MedLine Citation:
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PMID: 22998006 Owner: NLM Status: In-Process |
Abstract/OtherAbstract:
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A 65-year-old man developed respiratory failure and was admitted to the Intensive Care Unit for positive pressure ventilation and antibiotic and antifungal therapy.There was a sudden deterioration with chest pain, worsening hypoxia and hypotension. Serial electrocardiograms showed new onset right bundle-branch block with developing anterior ST-segment elevation. An urgent coronary angiogram revealed acute occlusion of the left anterior descending artery with a single large distinct thrombus, which was successfully removed with an aspiration catheter. A presumptive diagnosis of paradoxical coronary embolus was made. A short review is provided of this relatively rare clinical entity which has the potential to present in intensive care patients who have an underlying intra-cardiac defect and require positive pressure ventilation. This case emphasises the importance of being aware of less common causes of acute clinical deterioration and electrocardiographic changes in the ventilated patient. |
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Authors:
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Johan Bennett; Li Ong; Colm Hanratty |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Acta cardiologica Volume: 67 ISSN: 0001-5385 ISO Abbreviation: Acta Cardiol Publication Date: 2012 Aug |
Date Detail:
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Created Date: 2012-09-24 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 0370570 Medline TA: Acta Cardiol Country: Belgium |
Other Details:
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Languages: eng Pagination: 477-9 Citation Subset: IM |
Affiliation:
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Department of Cardiovascular Medicine, University Hospitals Leuven, Leuven, Belgium. johan.bennett@uzleuven.be |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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