scholarly journals Non-rheumatic streptococcal myocarditis mimicking acute myocardial infarction in an adolescent male

2018 ◽  
Vol 28 (3) ◽  
pp. 454-457 ◽  
Author(s):  
Caitlin E. O’Brien ◽  
John D. Coulson ◽  
Priya Sekar ◽  
Jon R. Resar ◽  
Kristen Nelson McMillan
Keyword(s):  
Myocardial Infarction ◽  
Acute Myocardial Infarction ◽  
Young Adults ◽  
Chest Pain ◽  
Streptococcal Pharyngitis ◽  
Adolescent Male ◽  
Coronary Angiogram ◽  
St Segment Elevation ◽  
St Segment ◽  
History Of

AbstractAn adolescent male with a recent history of streptococcal pharyngitis presented with severe substernal chest pain, troponin leak, and ST-segment elevation, which are suggestive of acute inferolateral myocardial infarction. The coronary angiogram was normal. The patient was subsequently diagnosed with non-rheumatic streptococcal myocarditis. He was treated with amoxicillin and had excellent recovery. Non-rheumatic streptococcal myocarditis is an important mimic of acute myocardial infarction in young adults.

scholarly journals Antiphospholipid Syndrome - A Case Report of Pulmonary Thromboembolism, Followed with Acute Myocardial Infarction in Patient with Systemic Sclerosis

2015 ◽  
Vol 3 (4) ◽  
pp. 705-709 ◽  
Author(s):  
Marija Vavlukis ◽  
Irina Kotlar ◽  
Emilija Chaparoska ◽  
Bekim Pocesta ◽  
Hristo Pejkov ◽  
...  
Keyword(s):  
Myocardial Infarction ◽  
Acute Myocardial Infarction ◽  
Pulmonary Embolism ◽  
Systemic Sclerosis ◽  
Antiphospholipid Syndrome ◽  
Total Occlusion ◽  
St Segment Elevation ◽  
St Segment ◽  
History Of ◽  
The Right

AIM: We are presenting an uncommon case of pulmonary embolism, followed with an acute myocardial infarction, in a patient with progressive systemic sclerosis.CASE PRESENTATION: A female 40 years of age was admitted with signs of pulmonary embolism, confirmed with CT scan, which also reviled a thrombus in the right ventricle. The patient had medical history of systemic sclerosis since the age of 16 years. She suffered an ischemic stroke 6 years ago, but she was not taking any anticoagulant or antithrombotic medications ever since. She received a treatment with thrombolytic therapy, and subsequent UFH, but, on the second day after receiving fibrinolysis, she felt chest pain accompanied with ECG changes consistent for ST-segment elevation myocardial infarction (STEMI). Urgent coronary angiography was undertaken, which reviled cloths causing total occlusion in 4 blood vessels, followed with thromboaspiration, but without successful reperfusion. Several hours later the patient developed rapid deterioration with letal ending. During the very short hospital course, blood sampling reviled presence of antiphospholipid antibodies.CONCLUSION: The acquired antiphospholipid syndrome is common condition in patients with systemic autoimmune diseases, but relatively rare in patients with systemic sclerosis. Never the less, we have to be aware of it when treating the patients with systemic sclerosis.

scholarly journals Gemella Endocarditis Presenting as an ST-Segment-Elevation Myocardial Infarction

2016 ◽  
Vol 43 (3) ◽  
pp. 258-260 ◽  
Author(s):  
Jonathan Winkler ◽  
Sunit-Preet Chaudhry ◽  
Philip H. Stockwell
Keyword(s):  
Myocardial Infarction ◽  
Acute Myocardial Infarction ◽  
Chest Pain ◽  
Cardiac Catheterization ◽  
Acute Chest Pain ◽  
Initial Presentation ◽  
St Segment Elevation ◽  
Segment Elevation Myocardial Infarction ◽  
Septic Embolization ◽  
St Segment

Acute myocardial infarction from septic embolization is a rare initial presentation of endocarditis. We report the case of a 67-year-old man who presented with acute chest pain, in whom emergency cardiac catheterization revealed findings that suggested coronary embolism. The patient was found to have Gemella endocarditis, with its initial presentation an embolic acute ST-segment-elevation myocardial infarction. We suggest that endocarditis be considered among the potential causes of acute myocardial infarction.

Can acute myocardial infarction be predicted on presentation in patients with persistent chest pain without significant ST segment elevation?

2003 ◽  
Vol 12 (2) ◽  
pp. A37
Author(s):  
Yutaka Koyama ◽  
Michael R. Ward ◽  
Colm G. Hanratty ◽  
Helge H. Rasmussen ◽  
Gregory I.C. Nelson ◽  
...  
Keyword(s):  
Myocardial Infarction ◽  
Acute Myocardial Infarction ◽  
Chest Pain ◽  
St Segment Elevation ◽  
St Segment

scholarly journals Severe Hyperthyroidism Presenting with Acute ST Segment Elevation Myocardial Infarction

2015 ◽  
Vol 2015 ◽  
pp. 1-4
Author(s):  
Dayan Zhou ◽  
Zongjie Qu ◽  
Hao Wang ◽  
Zhe Wang ◽  
Qiang Xu
Keyword(s):  
Myocardial Infarction ◽  
Acute Myocardial Infarction ◽  
Chest Pain ◽  
Thyroid Function ◽  
Acute Myocardial Infarction Patient ◽  
Arterial System ◽  
Thyroid Function Tests ◽  
Large Area ◽  
St Segment Elevation ◽  
St Segment

Introduction. Acute myocardial infarction is life-threatening. A cardiac troponin rise accompanied by typical symptoms, ST elevation or depression is diagnostic of acute myocardial infarction. Here, we report an unusual case of a female who was admitted with chest pain. However, she did not present with a typical profile of an acute myocardial infarction patient.Case Presentation. A 66-year-old Han nationality female presented with chest pain. The electrocardiogram (ECG) revealed arched ST segment elevations and troponin was elevated. However, the coronary angiography showed a normal coronary arterial system. Thyroid function tests showed that this patient had severe hyperthyroidism.Conclusion. Our case highlights the possibility that hyperthyroidism may cause a large area of myocardium injury and ECG ST segment elevation. We suggest routine thyroid function testing in patients with chest pain.

scholarly journals Treatment of patients with myocardial infarction depends on history of cancer

2017 ◽  
Vol 7 (7) ◽  
pp. 639-645 ◽  
Author(s):  
Sabine Rohrmann ◽  
Fabienne Witassek ◽  
Paul Erne ◽  
Hans Rickli ◽  
Dragana Radovanovic
Keyword(s):  
Myocardial Infarction ◽  
Acute Myocardial Infarction ◽  
Cancer Patients ◽  
St Segment Elevation ◽  
Segment Elevation Myocardial Infarction ◽  
Recommended Treatment ◽  
St Segment ◽  
History Of ◽  
Comorbidity Index ◽  
History Of Cancer

Background: Although cancer treatment considerably affects cardiovascular health, little is known about how cancer patients are treated for an acute myocardial infarction. We aimed to investigate whether acute myocardial infarction patients with a history of cancer received the same guideline recommended treatment as those acute myocardial infarction patients without and whether they differ with respect to inhospital outcome. Methods: All patients with ST-segment elevation myocardial infarction and non-ST-segment elevation myocardial infarction, enrolled between 2002 and mid-2015 in the acute myocardial infarction in Switzerland (AMIS Plus) registry with comorbidity data based on the Charlson comorbidity index were analysed. Patients were classified as having cancer if one of the cancer diseases of the Charlson comorbidity index was indicated. Immediate treatment strategies and inhospital outcomes were compared between groups using propensity score matching. Results: Of 35,249 patients, 1981 (5.6%) had a history of cancer. After propensity score matching for age, gender, Killip class >2, ST-segment elevation myocardial infarction and renal disease (1981 patients per group), significant differences were no longer found for a history of acute myocardial infarction, hypertension, diabetes, heart failure and cerebrovascular disease between cancer and non-cancer patients. However, cancer patients underwent percutaneous coronary intervention less frequently (odds ratio (OR) 0.76; 95% confidence interval (CI) 0.67–0.88) and received P2Y12 blockers (OR 0.82; 95% CI 0.71–0.94) and statins (OR 0.87; 95% CI 0.76–0.99) less frequently. Inhospital mortality was significantly higher in cancer patients (10.7% vs. 7.6%, OR 1.45; 95% CI 1.17–1.81). However, the main cause of death was cardiac in both groups ( P=0.06). Conclusion: Acute myocardial infarction patients with a history of cancer were less likely to receive guideline recommended treatment and had worse inhospital outcomes than non-cancer patients.

scholarly journals Adolescent Mycardial Infarction with Normal Coronary Artery: A Case Report

1970 ◽  
Vol 5 (2) ◽  
pp. 40-43
Author(s):  
FN Malik ◽  
MN Ahmed ◽  
N Ahmed ◽  
M Badiuzzaman ◽  
AK Dutta ◽  
...  
Keyword(s):  
Myocardial Infarction ◽  
Acute Myocardial Infarction ◽  
Coronary Artery ◽  
Adolescent Male ◽  
Clot Lysis ◽  
St Segment ◽  
History Of ◽  
Artery Disease ◽  
Ventricular Infarction ◽  
Per Oral

Acute myocardial infarction may occur in adolescent with angiographically normal or near normal coronary arteries but the pathophysiology remain unclear. This mechanism includes in situ thrombosis or embolization with subsequent clot lysis and recanalization and vascular endothelial dysfunction, per se or combined. An one adolescent male having acute myocardial infarction (inferior with posterior with right ventricular infarction) was reported with no anomalous coronary artery nor history of risk factors for coronary artery disease and no history of drug abuse. He was thrombolysed in addition to per oral clopidegrol (600mg) and aspirin (300 mg) and other conventional anti-ischemic treatment. Two hours later the patient was pain free and there was complete resolution of ST segment. Five days later he was scheduled for coronary angiography. Key words: Adolescent myocardial infarction, coronary artery. DOI: 10.3329/jafmc.v5i2.4583 JAFMC Bangladesh Vol.5(2) (December) 2009, pp.40-43

scholarly journals Acute Myocardial Infarction Caused by Filgrastim: A Case Report

2012 ◽  
Vol 2012 ◽  
pp. 1-2
Author(s):  
Cemil Bilir ◽  
Hüseyin Engin ◽  
Yasemin Bakkal Temi ◽  
Bilal Toka ◽  
Turgut Karabağ
Keyword(s):  
Myocardial Infarction ◽  
Acute Myocardial Infarction ◽  
Case Report ◽  
Cardiac Disease ◽  
Chest Discomfort ◽  
St Segment Elevation ◽  
Gm Csf ◽  
St Segment ◽  
History Of ◽  
Coronary Events

Common uses of the granulocyte-colony stimulating factors in the clinical practice raise the concern about side effects of these agents. We presented a case report about an acute myocardial infarction with non-ST segment elevation during filgrastim administration. A 73-year-old man had squamous cell carcinoma of larynx with lung metastasis treated with the chemotherapy. Second day after the filgrastim, patient had a chest discomfort. An ECG was performed and showed an ST segment depression and negative T waves on inferior derivations. A coronary angiography had showed a critical lesion in right coronary arteria. This is the first study thats revealed that G-CSF can cause acute myocardial infarction in cancer patients without history of cardiac disease. Patients with chest discomfort and pain who are on treatment with G-CSF or GM-CSF must alert the physicians for acute coronary events.

scholarly journals Typical chest pain and precordial leads ST-elevation in patients with pacemakers - are we always looking at an acute myocardial infarction?

2015 ◽  
Vol 72 (9) ◽  
pp. 837-840
Author(s):  
Marina Ostojic ◽  
Tatjana Potpara ◽  
Marija Polovina ◽  
Mladen Ostojic ◽  
Miodrag Ostojic
Keyword(s):  
Myocardial Infarction ◽  
Acute Myocardial Infarction ◽  
Emergency Department ◽  
Case Report ◽  
Chest Pain ◽  
Pacemaker Implantation ◽  
Ecg Changes ◽  
St Segment Elevation ◽  
St Segment ◽  
Typical Chest Pain

Introduction. Electrocardiographic (ECG) diagnosis of acute myocardial infarction (AMI) in patients with paced rhythm is difficult. Sgarbossa?s criteria represent helpful diagnostic ECG tool. Case report. A 57-year-old female patient with paroxysmal atrial fibrillation and a permanent pacemaker presented in the Emergency Department with prolonged typical chest pain and ECG recording suggestive for AMI. Documented ECG changes correspond to the first Sgarbossa?s criterion for AMI in patients with dual pacemakers (ST-segment elevation of ? 5 mm in the presence of the negative QRS complex). The patient was sent to catheterization lab where coronary angiogram reveled normal findings. ECG changes occurred due to pericardial reaction following two interventions: pacemaker implantation a month before and radiofrequency catheter ablation of AV junction two weeks before presentation in Emergency Department. Conclusion. This case report points out to the limitations of proposed criteria that aid in the recognition of AMI in patients with underlying paced rhythm and possible cause(s) of transient electrocardiographic abnormalities.

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