Статья
TCTAP C-025 EMBOLIC MYOCARDIAL INFARCTION CAUSED BY LEFT ATRIUM EMBOLI FROM ATRIAL FIBRILLATION
Relevant clinical history and physical exam 26.01.16. 64 years-old man presented to emergency department with burning, pressure like 8/10 pain, radiating to left shoulder, started 2 hours ago. His past medical history significant for previous hospitalization 21.12.15 with ischemic heart disease, stable angina, atrial flutter. Patient was taking aspirin 100 mg/day, metoprolol 50 mg b.i.d, atorvastatin 40 mg/day, spironolactone 25 mg/day, warfarin 5 mg/day. Relevant test results prior to catheterization ECG revealed ST elevation at II, III, AVF leads. Cardiac troponins were positive. INR 1,41. Transthoracic echocardiography - left atrial thrombi. 22.12.15 Coronarography found intact coronary arteries. Relevant catheterization findings Coronarography through 6F radial sheath found distal LAD occlusion with round perfusion defect, RCA occlusion at distal third.
