Groudan Kevin, Tripathi Kartikeya, Gupta Kamesh, Tabbalat Rinad
Internal Medicine, Baystate Medical Center, Springfield, USA.
Gastroenterology, Baystate Medical Center, Springfield, USA.
Cureus. 2021 Feb 27;13(2):e13585. doi: 10.7759/cureus.13585.
ST-segment elevation myocardial infarction is a medical emergency that requires immediate treatment with potent anti-platelet and anti-coagulant therapies and reperfusion by percutaneous coronary intervention. The use of anti-platelet and anti-coagulant therapies can result in hemorrhagic complications, and their use is challenging in a patient with an active gastrointestinal bleed. We report the case of a patient who simultaneously presented with both an ST-segment elevation myocardial infarction and a hemorrhagic pancreatic pseudocyst. There are currently no comprehensive recommendations to guide treatment of these conditions when presenting concomitantly. This case outlines the multi-disciplinary approach taken by our cardiology and gastroenterology teams and highlights the need to develop management algorithms for these two life-threatening conditions.
ST段抬高型心肌梗死是一种医疗急症，需要立即采用强效抗血小板和抗凝治疗，并通过经皮冠状动脉介入进行再灌注治疗。抗血小板和抗凝治疗的使用可能导致出血并发症，对于有活动性胃肠道出血的患者，使用这些治疗具有挑战性。我们报告了一例同时出现ST段抬高型心肌梗死和出血性胰腺假性囊肿的患者。目前尚无全面的建议来指导这两种情况同时出现时的治疗。本病例概述了我们的心脏病学和胃肠病学团队采取的多学科方法，并强调了为这两种危及生命的情况制定管理算法的必要性。
