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A Cautionary Tale of Triple Therapy
Negeen Shahandeh1, Jeffrey Harrell1, Eric H Yang1
1Division of Cardiology, University of California-Los Angeles, Los Angeles, California, USA.
JACC. Case Reports
|July 28, 2021
Summary
A patient experienced a heart attack and underwent a procedure, but later developed serious neurological symptoms. This case highlights potential complications following treatment for acute myocardial infarction.
Area of Science:
- Cardiology
- Neurology
Background:
- A 54-year-old male with atrial flutter history presented with ST-segment elevation myocardial infarction.
- The patient underwent percutaneous coronary intervention for left main coronary artery disease.
Observation:
- Complicated by cardiogenic shock, requiring intensive management.
- Received triple antithrombotic therapy post-procedure.
Findings:
- Despite initial recovery, the patient developed hypotension, confusion, and hemiplegia before discharge.
- These neurological deficits suggest a potential cerebrovascular event or complication.
Implications:
- Highlights the critical need for vigilant monitoring post-myocardial infarction and intervention.
- Underscores the importance of considering neurological complications in patients with cardiovascular events.
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