1Mirian Silva dos Santos, 1Samantha Cristiane Lopes, 1,2Márcio José Paes, 1Paola de Lima
1Medical Sciences Research Center: health investigations – NPCMed , Faculty of Medicine, University Center for the Development of Alto Vale do Itajaí – UNIDAVI, Rio do Sul, Santa Catarina, Brazil.
2Alto Vale Regional Hospital – HRAV, Rio do Sul, Santa Catarina, Brazil.
ABSTRACT:
The term acute coronary syndrome represents a group of signs and symptoms in a patient who exhibits clinical and/or laboratory evidence of the occurrence of acute myocardial ischemia. This concept encompasses acute myocardial infarction, which represents the most important cause of death in Brazil and the world. Pituitary adenomas, in turn, are benign tumors, and are among the most common intracranial tumors, corresponding to 9 to 15% of intracranial tumors detected in autopsy series, and in radiological series, they can reach up to 22 to 23%. of cases. This study is a case report of the simultaneous occurrence of an acute myocardial infarction and an acute compressive neurological syndrome, due to pituitary adenoma, both serious, and the challenges encountered in making medical decisions regarding treatment priority. In daily practice, differentiating between urgency and emergency can be complex. In the case in question, although neurological compression implied the risk of irreversible vision loss, the team decided to prioritize the cardiac approach, to the detriment of the immediate attempt to preserve vision. The decision considered the imminent risk of death due to hemodynamic instability due to any decompensation during the neurological procedure.
KEYWORDS:
Acute myocardial infarction. Pituitary adenoma. Urgency. Emergency. Case report.
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