Rare Presentation of Deep Vein Thrombosis and Submassive Pulmonary Emboli Due to Hypercoagulable State With Supratherapeutic Anticoagulation.
Osceola Regional Medical Center
deep venous thrombosis, hypercoagulable, pulmonary embolism, supratherapeutic inr, thromboembolism
Cardiovascular Diseases | Emergency Medicine
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
Rivera-Morales MD, Wu JC, Dub L, Ganti L. Rare Presentation of Deep Vein Thrombosis and Submassive Pulmonary Emboli Due to Hypercoagulable State With Supratherapeutic Anticoagulation. Cureus. 2021;13(8):e17300. doi:10.7759/cureus.17300