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Anterior wall STEMI in a patient with paroxysmal atrial fibrillation due to coronary embolism: A case report.
- Source :
-
Annals of medicine and surgery (2012) [Ann Med Surg (Lond)] 2022 Sep 08; Vol. 82, pp. 104602. Date of Electronic Publication: 2022 Sep 08 (Print Publication: 2022). - Publication Year :
- 2022
-
Abstract
- Introduction: Coronary embolism (CE) is a rare cause of acute ST-elevation myocardial infarction (STEMI). Atrial fibrillation (AF), left ventricular thrombus, septic emboli from infective endocarditis, myxoma, and paradoxical embolism can induce emboli in coronary arteries.<br />Case Presentation: Here we present a case of anterior wall STEMI secondary to paroxysmal AF in a 60-years-old female with a previous history of right-sided ischemic stroke.<br />Discussion: The major criteria for diagnosis of coronary embolism include (1) non-atherosclerotic wall of coronary vessels under angiography; (2) concomitant involvement of multiple sites; (3) histological proof of venous thrombus; (4) imaging by echocardiography/CT/MRI showing intra-cardiac thrombus. The minor criteria include (1) <25% stenosis of other vessels supplying to infarct-free myocardium; (2) atrial fibrillation history; (3) risk factors like (prosthetic valve, bacterial endocarditis, patent foramen ovale, atrial septal defect, dilated cardiomyopathy).<br />Conclusion: Our case highlights the importance of cardiac embolus as a diagnosis in a patient with a history of stroke secondary to atrial fibrillation as a cause of acute STEMI and its management.<br /> (© 2022 The Authors.)
Details
- Language :
- English
- ISSN :
- 2049-0801
- Volume :
- 82
- Database :
- MEDLINE
- Journal :
- Annals of medicine and surgery (2012)
- Publication Type :
- Report
- Accession number :
- 36268397
- Full Text :
- https://doi.org/10.1016/j.amsu.2022.104602