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Euro Case Reports 2020: Unusual presentation of coronary artery obstruction at the emergency room - Ana Carolina Lima - Hospital Beneficiencia Portuguesa

Ana Carolina Lima

We define the unpredicted case of a 74-year-old man, with medical record of ischemic heart disorder and operation for aneurysm of aorta, which includes the emergency department peevish of low-back pain deprived of other indications or signs of organic failure. After a couple of hours we see a deterioration of physical conditions with pulmonary oedema, increase of vital sign, changing within the ECG pattern, and worsening of left ventricular function with liberal growth of biomarkers for myocardial necrosis. Therefore, this pain has shown the premature indication of an acute coronary syndrome (ACS). After a brief time a subsequent asystole complicates the clinical situation. After resuscitation, the patient undergoes successfully to coronary angiography and performed a percutaneous transluminal coronary angioplasty (PTCA).