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Báo cáo y học: "Premature myocardial infarction presenting with acute pulmonary embolism: a case report"

Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài:Premature myocardial infarction presenting with acute pulmonary embolism: a case report | JOURNAL OF MEDICAL Sr CASE REPORTS Open Access Case report Premature myocardial infarction presenting with acute pulmonary embolism a case report Seerapani Gopaluni Aadil Shaukat Martin Gray Roshni Gokhale and M Al-Bustami Address Department of Cardiology Cardiac Suite Lister Hospital Stevenage SG1 4AB UK Email SG - drseerapani@yahoo.co.uk AS - draadil@yahoo.co.uk MG - martin.c.gray@hotmail.co.uk RG - roshnigokhale@hotmail.com MAB - m.albustami@nhs.net Corresponding author Received 23 February 2008 Accepted 22 January 2009 Published 27 August 2009 Journal ofMedical Case Reports 2009 3 8786 doi 10.4076 1752-1947-3-8786 This article is available from http jmedicalcasereports.com jmedicalcasereports article view 8786 2009 Gopaluni et al. licensee Cases Network Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License http creativecommons.org licenses by 3.0 which permits unrestricted use distribution and reproduction in any medium provided the original work is properly cited. Abstract Introduction Myocardial infarction and coronary artery disease in people under 40 years of age are relatively uncommon. To establish a diagnosis physicians need a high degree of clinical suspicion. Case presentation We report the case of a 33-year-old Caucasian man presenting with classical signs and symptoms of acute pulmonary embolism. Subsequent investigations interestingly revealed right ventricular mural thrombus with no obvious underlying pathology triggering it. On cardiac magnetic resonance imaging he was found to have a right ventricular infarct with secondary thrombus formation. Coronary angiography confirmed ostial occlusion of the right coronary artery. Conclusion This is an unusual case of premature myocardial infarction presenting primarily with secondary complications. Introduction Coronary artery disease and myocardial infarction occur more frequently in patients over the age of 40 years. However they can affect patients .