Simultaneous coronary thrombosis with multisite myocardial infarction and complex malignant arrhythmia

Introduction: Acute myocardial infarction with simultaneous coronary thrombosis has been rarely reported. This combination induces various arrhythmias and is a high-risk factor for cardiogenic shock. Patient concerns: A 65-year-old man presented with sweating and a 3-h abrupt persistent back pain that radiated to the anterior. Diagnosis: Multisite myocardial infarction, coronary thrombosis with and complex malignant arrhythmia Interventions: Prompt intervention includes cardiac pacing, percutaneous coronary intervention (PCI), thrombus aspiration and intra-aortic balloon pump (IABP). Outcomes: The patient was successfully rescued after PCI and thrombus aspiration. Conclusions: Recognition of dynamic electrocardiographic changes enhances our understanding of the pathogenesis of myocardial infarction.