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J R Soc Med. 1983 October; 76(10): 863–869.
PMCID: PMC1439585

Diagnosis of coronary embolism: a review.

Abstract

Coronary embolism is an uncommon but distinct clinical entity. It can be diagnosed clinically, and should be suspected when acute myocardial infarction occurs in association with an underlying condition which predisposes to embolism. The most common are valvular heart disease, a prosthetic heart valve, infective endocarditis, cardiomyopathy with mural thrombus and arrhythmia. The diagnosis may be obscured by atypical symptoms and transient ECG changes. The diagnosis is supported by the demonstration of normal coronary arteries by selective coronary arteriography. Treatment with long-term anticoagulants may prevent further emboli. Additional antiplatelet drugs are also necessary in patients with prosthetic heart valves.

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Selected References

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Articles from Journal of the Royal Society of Medicine are provided here courtesy of Royal Society of Medicine Press