Left ventricular thrombus and systemic embolism after painless myocardial infarction in a young female. Issue 2 (March 2018)

• Record Type: Journal Article
• Authors: Liao, Shao-Feng; Lee, Ching-Hsing; Wu, Lung-Sheng; Li, Chih-Huang; Chen, Hsien-Yi
• Is Part Of: Hong Kong journal of emergency medicine. Volume 25:Issue 2(2018)
• Page Start: 110
• Page End: 112
• Publication Date: 2018-03
• Subjects: Oral contraceptive -- left ventricular thrombus -- embolism -- myocardial infarction; Emergency medicine -- Periodicals; 616.02505
• DOI: 10.1177/1024907917745233
• Languages: English
• ISSNs: 2309-5407

Abstract

Oral contraceptives are widely used because of their reliability. Although oral contraceptives are known to increase the risk of thromboembolic events, there are extremely few reports of oral contraceptive–induced left ventricular thrombus. Herein, we report a 37-year-old non-smoking female, who had regularly taken oral contraceptives for 14 years, developed an anterior myocardial infarction concomitant with left ventricular thrombus, bilateral segmental renal infarctions, and lower limb ischemia. Medical treatment with a combination of dual antiplatelet therapy and anticoagulants completely relieved her symptoms.