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

  • 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.

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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]. 2021Jul.8 [cited 2021Oct.23];3(1):71-9. Available from: https://he02.tci-thaijo.org/index.php/TJEM/article/view/249125
Section
CASE REPORT