Rare Presentation of Deep Vein Thrombosis and Submassive Pulmonary Emboli Due to Hypercoagulable State With Supratherapeutic Anticoagulation.

Division

North Florida

Hospital

Osceola Regional Medical Center

Document Type

Case Report

Publication Date

8-19-2021

Keywords

deep venous thrombosis, hypercoagulable, pulmonary embolism, supratherapeutic inr, thromboembolism

Disciplines

Cardiovascular Diseases | Emergency Medicine

Abstract

We present a case of an elderly male with multiple co-morbidities, including atrial fibrillation on warfarin and recently diagnosed left lower extremity deep vein thrombosis (DVT), who presented to the emergency department for dyspnea. He was found to be hypoxic and mildly hypotensive. He was diagnosed with submassive pulmonary emboli (PE) despite having a supratherapeutic international normalized ratio (INR). In this case report, the clinical presentation, diagnostic workup, and management of this patient are discussed.

Publisher or Conference

Cureus

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