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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 |
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| รหัสดีโอไอ | |
| Creator | Thanat Tangpaisar |
| Title | 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 |
| Contributor | Praew Kotruchin, Burabha Pussadhamma |
| Publisher | P.A. LIVING CO., LTD. |
| Publication Year | 2564 |
| Journal Title | Thai Journal of Emergency Medicine |
| Journal Vol. | 3 |
| Journal No. | 1 |
| Page no. | 71 - 79 |
| Keyword | Acute pulmonary embolism, Acute coronary syndrome, Sudden cardiac arrest. |
| URL Website | https://he02.tci-thaijo.org/index.php/TJEM/index |
| Website title | Thai jounal of Emergency Meddicine |
| ISSN | 2697 - 4924 |
| Abstract | 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-seg-ment 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. |
