When should the possibility of embolism of the coronary arteries be considered? In all patients who present with ACS (usually NSTEMI) in the conte...
When should the possibility of embolism of the coronary arteries be considered?
In all patients who present with ACS (usually NSTEMI) in the context of atrial fibrillation, active infectious endocarditis, prosthetic heart valve, diagnosed LV thrombus, or left-sided cardiac tumor (right-sided tumors require the existence of right-to-left shunt).
In patients with normal arteries in angiography, in the context of myocardial infarction.
In patients with chest pain caused by excess catecholamines.
a) I and II are correct.
b) II and III are correct.
c) I and III are correct.
d) All statements are correct.
In all patients who present with ACS (usually NSTEMI) in the context of atrial fibrillation, active infectious endocarditis, prosthetic heart valve, diagnosed LV thrombus, or left-sided cardiac tumor (right-sided tumors require the existence of right-to-left shunt).
In patients with normal arteries in angiography, in the context of myocardial infarction.
In patients with chest pain caused by excess catecholamines.
a) I and II are correct.
b) II and III are correct.
c) I and III are correct.
d) All statements are correct.
💡 1 Resposta
Ed 
A possibilidade de embolia das artérias coronárias deve ser considerada em todos os pacientes que apresentam SCA (geralmente NSTEMI) no contexto de fibrilação atrial, endocardite infecciosa ativa, válvula cardíaca protética, trombo no ventrículo esquerdo diagnosticado ou tumor cardíaco do lado esquerdo (tumores do lado direito requerem a existência de shunt direita-esquerda). Também deve ser considerada em pacientes com artérias normais na angiografia, no contexto de infarto do miocárdio, e em pacientes com dor no peito causada por excesso de catecolaminas. A alternativa correta é a letra C) I e III estão corretas.
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