Oral contraceptive pills - a phantom menace: the case of a healthy young woman who presented with cardiac arrest due to a pulmonary em-bolism and coronary artery thrombus

Authors

  • Thanat Tangpaisarn Department of Emergency Medicine, Faculty of Medicine Srinakarind Hospital, Khon Kaen University
  • Praew Kotruchin Department of Emergency Medicine, Faculty of Medicine Srinakarind Hospital, Khon Kaen University
  • Burabha Pussadhamma Department of Internal Medicine, Faculty of Medicine Srinakarind Hospital, Khon Kaen University

Keywords:

Acute pulmonary embolism, Acute coronary syndrome, Sudden cardiac arrest

Abstract

We encountered a 33-year-old woman, who had taken oral contraceptive pills (OCPs) for a month before she had cardiac arrest. After she had received resuscitation and had returned to spontaneous circulation (ROSC), right ventricular dilatation with LV septal wall flattening was detected by bedside cardiac ultrasound. Acute pulmonary embolism (PE) was initially suspected and was confirmed by Invasive pulmonary angiogram. Unfortunately, after intra-lesional thrombolysis and clot aspiration had been performed, the patient’s condition improved, but later on worsened. An electrocardiogram (ECG) showed ST-segment elevation at the inferior wall territory. Coronary angiogram (CAG) was performed and a right coronary artery thrombus was found. Despite thorough blood tests investigations, we did not find any other risk of thrombosis other than OCPs.

References

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Published

2021-07-08

How to Cite

1.
Tangpaisarn T, Kotruchin P, Pussadhamma B. Oral contraceptive pills - a phantom menace: the case of a healthy young woman who presented with cardiac arrest due to a pulmonary em-bolism and coronary artery thrombus. TJEM [Internet]. 2021 Jul. 8 [cited 2024 Apr. 25];3(1):71-9. Available from: https://he02.tci-thaijo.org/index.php/TJEM/article/view/249125

Issue

Vol. 3 No. 1 (2021): JANUARY-JUNE

Section

CASE REPORT

Categories

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บทความที่ได้รับตีพิมพ์ในวารสารเวชศาสตร์ฉุกเฉินแห่งประเทศไทย ถือเป็นเป็นลิขสิทธิ์ของ วิทยาลัยแพทย์เวชศาสตร์ฉุกเฉินแห่งประเทศไทย

กรณีที่บทความได้รับการตีพิมพ์ในวารสารเวชศาสตร์ฉุกเฉินแห่งประเทศไทยแล้ว จะตีพิมพ์ในรูปแบบอิเล็กทรอนิกส์ ไม่มีสำเนาการพิมพ์ภายหลังหนังสือเผยแพร่เรียบร้อยแล้ว ผู้นิพนธ์ไม่สามารถนำบทความดังกล่าวไปนำเสนอหรือตีพิมพ์ในรูปแบบใดๆ ที่อื่นได้ หากมิได้รับคำอนุญาตจากวารสารเวชศาสตร์ฉุกเฉินแห่งประเทศไทย