Coronary Artery Embolism: Two Case Reports and a Review of the Literature.
| Autor: | Vendittelli PS; Department of Internal Medicine, Ascension Health, Saint John Hospital and Medical Center, Grosse Pointe Woods, Michigan. Electronic address: Philipvendittelli@gmail.com., Botros B; Department of Internal Medicine, Ascension Health, Saint John Hospital and Medical Center, Grosse Pointe Woods, Michigan., Rosman HS; Division of Cardiology, Saint John Hospital and Medical Center, Ascension Health, Detroit, Michigan., Govindaraju V; College of Medicine, Central Michigan University, Mount Pleasant, Michigan., Zaitoun A; Division of Cardiology, Saint John Hospital and Medical Center, Ascension Health, Detroit, Michigan., Marroush TS; Department of Internal Medicine, Ascension Health, Saint John Hospital and Medical Center, Grosse Pointe Woods, Michigan. |
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| Jazyk: | angličtina |
| Zdroj: | The American journal of the medical sciences [Am J Med Sci] 2019 Apr; Vol. 357 (4), pp. 333-337. Date of Electronic Publication: 2018 Nov 10. |
| DOI: | 10.1016/j.amjms.2018.11.003 |
| Abstrakt: | Coronary embolism (CE) is an uncommon and unique cause of acute myocardial infarction. In this report, we review 216 cases of CE including 2 new cases from our institution. The mean patient age was 52.5 years and 62% of the patients were males. Chest pain was the most common presenting symptom followed by dyspnea, and the most commonly affected vessel was the left anterior descending artery. Leading etiologies of the embolus were atrial fibrillation, septic emboli, and iatrogenic causes. Treatment approaches varied with thrombus aspiration being used in 30% of cases. In-hospital mortality rate was 36% and 13% of the cases were complicated by cerebrovascular accident. CE is a unique pathology that leads to acute myocardial infarction. It portends a high mortality rate and requires a high level of suspicion as symptoms may be misleading. Further research is needed in order to improve recognition and management and to lower associated mortality. (Copyright © 2018. Published by Elsevier Inc.) |
| Databáze: | MEDLINE |
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