A 77-Year-Old Woman With Acute Shortness of Breath and Chest Pain

Chest. 2018 Apr;153(4):e89-e91. doi: 10.1016/j.chest.2017.09.007.

Abstract

A 77-year-old woman presented to the hospital with symptoms of progressive shortness of breath with associated right-sided pleuritic pain. The patient had begun noting dyspnea on exertion, limiting her ability to go on hikes over the few days prior to admission. Her medical history is significant for carcinoid tumor status postresection in 2012 without recurrence. She has no history of thromboembolism or clotting disorders, and she has no history of smoking or drug abuse. Current medications include amlodipine, celecoxib, hydrochlorothiazide, and rosuvastatin.

Publication types

  • Case Reports

MeSH terms

  • Acute Disease
  • Aged
  • Chest Pain / etiology
  • Dyspnea / etiology
  • Echocardiography
  • Factor Xa Inhibitors / therapeutic use
  • Female
  • Humans
  • Pulmonary Veno-Occlusive Disease / complications*
  • Pulmonary Veno-Occlusive Disease / diagnostic imaging
  • Pulmonary Veno-Occlusive Disease / drug therapy
  • Rivaroxaban / therapeutic use
  • Tomography, X-Ray Computed
  • Venous Thrombosis / complications*
  • Venous Thrombosis / diagnostic imaging
  • Venous Thrombosis / drug therapy

Substances

  • Factor Xa Inhibitors
  • Rivaroxaban