TY - JOUR AU - Tangpaisarn, Thanat AU - Kotruchin, Praew AU - Pussadhamma, Burabha PY - 2021/07/08 Y2 - 2024/03/28 TI - 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 JF - Thai Journal of Emergency Medicine JA - TJEM VL - 3 IS - 1 SE - CASE REPORT DO - UR - https://he02.tci-thaijo.org/index.php/TJEM/article/view/249125 SP - 71-79 AB - <p>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.</p> ER -