Balancing Bleeding and Ischemic Risk: Dual Antiplatelet Therapy in a 90-Year-Old Man With Myocardial Infarction and Gastrointestinal Bleeding

Ashley Battenberg; Malcolm R. Bell; Mandeep Singh; Allan S. Jaffe; Marysia S. Tweet

doi:10.12659/AJCR.949920

17 January 2026 : Case report USA

Balancing Bleeding and Ischemic Risk: Dual Antiplatelet Therapy in a 90-Year-Old Man With Myocardial Infarction and Gastrointestinal Bleeding

Unusual clinical course, Challenging differential diagnosis

Ashley Battenberg^{BDEF 1}, Malcolm R. Bell^{E 2}, Mandeep Singh^{E 2}, Allan S. Jaffe^{DE 2}, Marysia S. Tweet

^{ADEF 2*}

DOI: 10.12659/AJCR.949920

Am J Case Rep 2026; 27:e949920

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Figure 1 Patient electrocardiograms (ECGs).Baseline ECG (A) from 1 year prior to admission shows normal sinus rhythm, left ventricular hypertrophy with QRS widening, and poor R-wave progression. ECG at emergency department presentation (B) shows normal sinus rhythm with 1 premature atrial contraction, left ventricular hypertrophy with QRS widening, and dynamic ST-segment depression.

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Balancing Bleeding and Ischemic Risk: Dual Antiplatelet Therapy in a 90-Year-Old Man With Myocardial Infarction and Gastrointestinal Bleeding

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