ST-Elevation Myocardial Infarction Presenting as Acute Limb Ischemia
Tamoor Ahmed1, Talha Ahmed2, Reyaz Haque3
1Internal Medicine, King Edward Medical University/Mayo Hospital, Lahore, PAK.
Insights
Delayed ST-segment elevation myocardial infarction (STEMI) can lead to serious complications like ventricular thrombus and limb ischemia. Prompt diagnosis and treatment are crucial for managing these STEMI complications.
Area of Science:
- Cardiology
- Vascular Medicine
- Emergency Medicine
Background:
- ST-segment elevation myocardial infarction (STEMI) is a critical cardiac event.
- Delayed STEMI presentation can lead to significant complications.
- Peripheral embolization is a recognized, albeit less common, complication of cardiac events.
Abstract:
We describe a case of delayed presentation of ST-segment elevation myocardial infarction (STEMI) complicated by ventricular thrombus and peripheral embolization causing limb ischemia. Our patient initially presented with symptoms of acute limb ischemia. However, on preoperative evaluation, STEMI was diagnosed. He required emergent revascularization of the left anterior descending artery followed by thrombectomy of the femoral artery. The cause of the limb ischemia was deemed to be a late presenting STEMI that was complicated by left ventricular thrombus, hence causing lower extremity embolization. Delayed presentations and complications related to STEMI may manifest as acute limb ischemia in the setting of ventricular thrombus formation and subsequent distal embolization.
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