ST-elevation Myocardial Infarction: An Unusual Presentation of Infective Endocarditis
Nirajan Regmi1, Samiksha Pandey1, Saroj Neupane2
1Department of Internal Medicine, Tribhuvan University Teaching Hospital, Kathmandu, Nepal.
Journal of Cardiovascular Echography
|August 1, 2017
Insights
Infective endocarditis can rarely cause acute coronary syndrome. This case highlights ST-elevation myocardial infarction due to coronary artery embolization from mitral valve endocarditis.
Area of Science:
- Cardiology
- Infectious Diseases
- Valvular Heart Disease
Background:
- Infective endocarditis (IE) is a serious infection affecting heart valves.
- Acute coronary syndrome (ACS) is an infrequent complication of IE.
Observation:
- A patient presented with ST-elevation myocardial infarction (STEMI).
- The STEMI was attributed to coronary artery embolization originating from mitral valve endocarditis.
Findings:
- This case demonstrates an unusual presentation of IE.
- Coronary embolization from infective endocarditis can lead to myocardial infarction.
Implications:
- Clinicians should consider IE in the differential diagnosis of ACS, especially with a history of valve disease.
- Early recognition and treatment of IE are crucial to prevent cardiovascular complications like myocardial infarction.
Abstract:
Acute coronary syndrome is an uncommon complication in patients with infective endocarditis, either in the acute phase of infection or later in the course. We describe a case of unusual presentation of infective endocarditis as ST-elevation myocardial infarction secondary to coronary embolization from mitral valve endocarditis.
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