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Case of acute ST segment elevation myocardial infarction in infective endocarditismanagement with intra coronary stenting

Ghulam Murtaza, Zia ur Rahman, Puja Sitwala, Vatsal Ladia, Bhavesh Barad, Kais Albalbissi, Timir K. Paul, Vijay Ramu
  • Ghulam Murtaza
    Department of Internal Medicine, East Tennessee State University, Johnson City, TN, United States | murtazag@etsu.edu
  • Zia ur Rahman
    Division of Cardiology, East Tennessee State University, Johnson City, TN, United States
  • Puja Sitwala
    Division of Cardiology, East Tennessee State University, Johnson City, TN, United States
  • Vatsal Ladia
    Division of Cardiology, East Tennessee State University, Johnson City, TN, United States
  • Bhavesh Barad
    Division of Cardiology, East Tennessee State University, Johnson City, TN, United States
  • Kais Albalbissi
    Department of Internal Medicine, East Tennessee State University, Johnson City, TN, United States
  • Timir K. Paul
    Division of Cardiology, East Tennessee State University, Johnson City, TN, United States
  • Vijay Ramu
    Division of Cardiology, East Tennessee State University, Johnson City, TN, United States

Abstract

Embolic events from infective endocarditis can cause acute coronary syndrome. Mortality rate is high and optimal management might be different from those chosen in setting of classic atherosclerotic coronary artery disease. We present a case of 56-yearold male who had received 5 weeks of antibiotics for aortic valve endocarditis and developed acute ST segment elevation myocardial infarction in hospital settings. Interestingly, patient had recent left heart catheterization that was normal. This was recognized as embolic event from sterile vegetation. Patient was managed with balloon angioplasty and placement of intracoronary stent. Following re-vascularization, patient chest pain and electrocardiogram normalized and he improved in short term. However due to multiple comorbidities he had to be intubated and placed on dialysis.

Keywords

Endocarditis; myocardial infacrtion; stent.

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Submitted: 2017-02-01 04:00:19
Published: 2017-06-07 09:49:22
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Copyright (c) 2017 Ghulam Murtaza, Zia ur Rahman, Puja Sitwala, Vatsal Ladia, Bhavesh Barad, Kais Albalbissi, Timir K. Paul, Vijay Ramu

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