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Pancreatic Pseudocyst Hemorrhage Complicated by an Acute ST-Elevation Myocardial Infarction

Kevin Groudan1, Kartikeya Tripathi2, Kamesh Gupta1

  • 1Internal Medicine, Baystate Medical Center, Springfield, USA.

Cureus
|March 3, 2021
PubMed

Insights

Managing ST-segment elevation myocardial infarction (STEMI) with an active gastrointestinal bleed is complex. This case highlights the challenges and need for treatment guidelines when STEMI and hemorrhagic pancreatic pseudocyst occur together.

Area of Science:

  • Cardiology
  • Gastroenterology
  • Internal Medicine

Background:

  • ST-segment elevation myocardial infarction (STEMI) requires urgent anti-platelet, anti-coagulant therapy, and reperfusion.
  • Anti-coagulant and anti-platelet agents increase hemorrhagic risks, complicating treatment in patients with active bleeding.
  • Simultaneous STEMI and gastrointestinal bleeding present a significant clinical dilemma with limited established guidelines.

Keywords:
pancreatic pseudocyst hemorrhagest-elevation myocardial infarction (stemi)upper gi bleed

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