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Simultaneous coronary thrombosis with multisite myocardial infarction and complex malignant arrhythmia: A case report
Mu-Li Wu1, Duan-Min Xu, Chang Chen
1Department of Cardiology, First Affiliated Hospital of Shantou University Medical College, Shantou, China.
Introduction:
Acute myocardial infarction with simultaneous coronary thrombosis has been rarely reported. This combination induces various arrhythmias and is a high-risk factor for cardiogenic shock.
Patient Concerns:
A 65-year-old man presented with sweating and a 3-h abrupt persistent back pain that radiated to the anterior.
Diagnosis:
Multisite myocardial infarction, coronary thrombosis with and complex malignant arrhythmia INTERVENTIONS:: Prompt intervention includes cardiac pacing, percutaneous coronary intervention (PCI), thrombus aspiration and intra-aortic balloon pump (IABP).
Outcomes:
The patient was successfully rescued after PCI and thrombus aspiration.
Conclusions:
Recognition of dynamic electrocardiographic changes enhances our understanding of the pathogenesis of myocardial infarction.
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