Abstract

This is case report of a 31 year old male patient who came to emergency department with complaints of sudden onset shortness of breath associated with cardinal signs of cardiac strain followed on to be diagnosed with combined inherited thrombophilia due to protein S and protein C deficiency along with a possible antiphospholipid syndrome (APS). The case was complicated by pulmonary embolism with cardiac strain as indicated by grossly elevated NT-ProBNP and 2D Echo changes like global LV Hypokinesia and PASP of 60mmHg

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