Anterior wall STEMI in a patient with paroxysmal atrial fibrillation due to coronary embolism: A case report.

ABSTRACT:

Introduction

Coronary embolism (CE) is a rare cause of acute ST-elevation myocardial infarction (STEMI). Atrial fibrillation (AF), left ventricular thrombus, septic emboli from infective endocarditis, myxoma, and paradoxical embolism can induce emboli in coronary arteries.

Case presentation

Here we present a case of anterior wall STEMI secondary to paroxysmal AF in a 60-years-old female with a previous history of right-sided ischemic stroke.

Discussion

The major criteria for diagnosis of coronary embolism include (1) non-atherosclerotic wall of coronary vessels under angiography; (2) concomitant involvement of multiple sites; (3) histological proof of venous thrombus; (4) imaging by echocardiography/CT/MRI showing intra-cardiac thrombus. The minor criteria include (1)

SUBMITTER: Shah NA 

PROVIDER: S-EPMC9577526 | biostudies-literature | 2022 Oct

REPOSITORIES: biostudies-literature