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A fluttering coronary event

Ali Zakaria1, Bayan Al Share1, Georgy Kaspar2

  • 1Department of Internal Medicine, College of Human Medicine, Michigan State University, Providence-Providence Park Hospital, Southfield, Michigan, USA.

Journal of Family Medicine and Primary Care
|August 10, 2018
PubMed

Insights

Acute coronary syndrome (ACS) can stem from nonatherosclerotic coronary artery thromboembolism. This case highlights atrial flutter as a cause of ACS in a high-risk patient population.

Area of Science:

  • Cardiology
  • Internal Medicine

Background:

  • Acute coronary syndrome (ACS) encompasses conditions of reduced heart blood flow.
  • Coronary artery thromboembolism is a nonatherosclerotic cause of myocardial infarction, seen in 2.9% of ACS cases.
  • Patients with coronary embolism are considered a high-risk subgroup.

Observation:

  • A 65-year-old female presented with acute chest pain.
  • The patient was diagnosed with ACS.
  • The cause was identified as nonatherosclerotic thromboembolism secondary to atrial flutter.

Findings:

  • Atrial flutter can precipitate acute coronary syndrome via coronary embolism.
  • Nonatherosclerotic causes of ACS require specific diagnostic considerations.
  • Coronary embolism represents a significant risk factor in ACS patients.

Implications:

  • Recognizing atrial flutter as a cause of coronary embolism is crucial for timely diagnosis and treatment.
  • This case underscores the importance of investigating nonatherosclerotic etiologies in ACS.
  • Effective management of underlying arrhythmias like atrial flutter may prevent recurrent embolic events.

Keywords:
Acute coronary syndromeatrial fluttercoronary artery thromboembolism

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