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Myocardial infarction associated with infective endocarditis: a case series
Sofía Calero-Núñez1, Vicente Ferrer Bleda1, Miguel Corbí-Pascual2
1Department of Cardiology, Albacete University Hospital, C/Hermanos Falcó 37, 02006 Albacete, Spain.
European Heart Journal. Case Reports
|April 26, 2019
Summary
Embolic myocardial infarction, a rare complication of infective endocarditis (IE), presents diagnostic challenges and requires individualized treatment. Management strategies vary, emphasizing multidisciplinary discussion for optimal patient outcomes.
Area of Science:
- Cardiology
- Infectious Diseases
Background:
- Embolic myocardial infarction (MI) is an uncommon but recognized complication of infective endocarditis (IE).
- Incidence ranges from 1% to 10% with a high mortality rate.
- Limited case reports and small studies highlight diagnostic and therapeutic challenges.
Observation:
- A case series of three patients with acute coronary syndrome (ACS) secondary to IE is presented.
- Patients exhibited varied presentations including non-ST-elevation and ST-elevation ACS.
- Management approaches included stent placement, conservative treatment, balloon angioplasty, valve replacement, and surgery.
Findings:
- ACS is a rare but serious complication of IE, increasing heart failure risk and mortality.
- Management of ACS in IE is complex and not standardized.
- Individualized treatment plans are crucial, often requiring multidisciplinary input.
Implications:
- Highlights the need for high suspicion in diagnosing embolic MI in IE patients.
- Underscores the importance of tailored treatment strategies based on patient-specific factors.
- Emphasizes the critical role of multidisciplinary teams in managing this complex condition.
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