Acute myocardial infarction after embolism in a patient with paroxysmal atrial fibrillation

Authors

  • Alex Gallegos Cazorla Hospital Nacional Daniel Alcides Carrión, Callao, Perú; Universidad de San Martín de Porres, Facultad de Medicina Humana, Lima, Perú
  • Juan Carlos More Terán Universidad Nacional Mayor de San Marcos, Lima, Perú; Hospital Alcides Carrión, Callao, Perú https://orcid.org/0000-0002-5427-6972

DOI:

https://doi.org/10.24265/horizmed.2015.v15n2.10

Keywords:

Atrial fibrillation, Myocardial infarction, Thromboembolism

Abstract

Atrial fibrillation (AF) can produce embolism and remains as an important cause of morbidity and mortality. We report the case of a patient admitted with a history of palpitations and oppressive retro sternal pain. AF was found associated with ECG changes compatible with acute myocardial infarction. Biomarkers (Troponin T and CK-MB) and motility disorders assessed by echocardiography confirmed diagnosis and coronary angiography was performed. A total occlusion of posterior ventricular coronary artery branch was found, which was successfully treated with thrombus aspiration, reestablishing coronary flow. While AF can be commonly associated with acute myocardial infarction, thromboembolism secondary to AF producing total coronary occlusion is rare. This clinical scenario should be considered before stenting.

Downloads

Download data is not yet available.

References

Benjamin EJ, Wolf PA, D'Agostino RB, Silbershatz H, Kannel WB, Levy D. Impact of atrial fibrillation on the risk of death: the Framingham Heart Study. Circulation. 1998;98(10):946-952.

Benjamin EJ, Chen PS, Bild DE, et al. Prevention of atrial fibrillation: report from a national heart, lung, and blood institute workshop. Circulation. 2009;119(4):606-618.

Schmitt J, Duray G, Gersh BJ, Hohnloser SH. Atrial fibrillation in acute myocardial infarction: a systematic review of the incidence, clinical features and prognostic implications. Eur Heart J. 2009 Garg RK, Jolly N.

Acute myocardial infarction secondary to thromboembolism in a patient with atrial fibrillation. Int J Cardiol. 2007;123(1):e18-e20.

Sakai K, Inoue K, Nobuyoshi M. Aspiration thrombectomy of a massive thrombotic embolus in acute myocardial infarction caused by coronary embolism. Int Heart J. 2007;48(3):387-392.

Cheng JTO, Cahill WJ. Coronary embolism. JAMA 1953;153:211-3.

Lam YY, Ma TK. Alternatives to chronic warfarin therapy for the preventionof stroke in patients with atrial fibrillation. Int J Cardiol 2011;150:4-11.

Garg RK. Acute myocardial infarction secondary to thromboembolism in a patient with atrial fibrillation. Int J Cardiol 2007;123:e18-20.

Sakai K1, Inoue K, Nobuyoshi M. Aspiration thrombectomy of a massive thrombotic embolus in acute myocardial infarction caused by coronary embolism. Int Heart J. 2007 May;48(3):387-92

Prizel KR, Hutchins GM, Bulkley BH. Coronary artery embolism and myocardial infarction. Ann InternMed. 1978 Feb;88(2):155-61.

Downloads

Published

2015-06-25

How to Cite

1.
Gallegos Cazorla A, More Terán JC. Acute myocardial infarction after embolism in a patient with paroxysmal atrial fibrillation. Horiz Med [Internet]. 2015Jun.25 [cited 2025May2];15(2):66-9. Available from: https://www.horizontemedico.usmp.edu.pe/index.php/horizontemed/article/view/282

Issue

Vol. 15 No. 2 (2015): April - June

Section

Case report

License

Copyright (c) 2015 Horizonte Médico (Lima)

Creative Commons License

This work is licensed under a Creative Commons Attribution 4.0 International License.

Horizonte Médico (Lima) (Horiz. Med.) journal’s research outputs are published free of charge and are freely available to download under the open access model, aimed at disseminating works and experiences developed in biomedical and public health areas, both nationally and internationally, and promoting research in the different fields of human medicine. All manuscripts accepted and published in the journal are distributed free of charge under the terms of a Creative Commons license – Attribution 4.0 International (CC BY 4.0).