Case presentation A 66-year-old man presented to the hospital with complaints of blood in his urine and increasing weariness. He added that the urine had become somewhat red and had progressed to gross bloody hematuria. Medical history Before admission, the patient had been on aspirin and ticagrelor (Dual antiplatelet therapy treatment) for eight months following cardiac stenting for acute coronary syndrome. The patient also was prescribed rivaroxaban (15 mg) and amiodarone (200 mg) for paroxysmal atrial fibrillation.
Due to epistaxis, rivaroxaban was discontinued five months previous to the present hospital admission. He had a history of myocardial infarction, paroxysmal atrial fibrillation, hypertension, and hypercholesterolemia. Amiodarone 200 mg once daily (OD), rosuvastatin 20 mg every evening, ticagrelor 90 mg OD, aspirin 81 mg OD, metoprolol tartrate 50 mg every 12 hours,…
