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Case Report
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| Pulmonary embolism and atrial fibrillation: A complicated relationship | ||||||
| Saroj Lohani1, Niranjan Tachamo1, Bidhya Timilsina1, Salik Nazir1 | ||||||
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1,MD, Internal Medicine Residency, Department of Medicine, Reading Health System, West Reading, PA, USA
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| How to cite this article |
| Lohani S, Tachamo N, Timilsina B, Nazir S. Pulmonary embolism and atrial fibrillation: A complicated relationship. Int J Case Rep Images 2017;8(6):376–379. |
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ABSTRACT
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Introduction:
Atrial fibrillation (AF) and pulmonary embolism (PE) share a complicated relationship. Pulmonary embolism has been associated with increased incidence and prevalence of AF. On the other hand, AF has also been associated with increased risk of PE in multiple cohort studies. What complicates the relationship further is that in some cases as in our case, patients presented with AF and were found to have PE. Case Report: A 72-year-old female presented to the emergency department with respiratory distress and was found to have atrial fibrillation with rapid ventricular response. She worsened despite appropriate treatment for atrial fibrillation. She was found to have massive pulmonary embolism after she underwent echocardiogram and CT scan of chest. However, she deteriorated quickly and died within five hours of presentation to the emergency department. Conclusion: Pulmonary embolism can precede, coexist or occur after atrial fibrillation. Clinicians should be alert about the complicated relationship of AF and PE. Keywords: Atrial fibrillation, Anticoagulation, Cardioversion pulmonary embolism |
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Author Contributions
Saroj Lohani – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published Niranjan Tachamo – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published Bidhya Timilsina – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published Salik Nazir – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published |
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Guarantor
The corresponding author is the guarantor of submission. |
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Source of support
None |
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Conflict of interest
Authors declare no conflict of interest. |
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Copyright
© 2017 Saroj Lohani et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information. |
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