Myocardial Infarction in a Young Cocaine User with Atrial Myxoma: What is the Central Cause?
| Autor: | Santos EL; Department of Cardiology, UFPE., Gonçalves RM; Department of Cardiology, Hospital De Base Doutor Ary Pinheiro., Holanda AC; Medical School, UFPE., Nogueira VO; Department of Cardiology, Hospital E Pronto Socorro João Paulo Ii., Correia LC; Department of Cardiology, Hospital São Rafael. |
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| Jazyk: | angličtina |
| Zdroj: | Cureus [Cureus] 2018 Mar 14; Vol. 10 (3), pp. e2325. Date of Electronic Publication: 2018 Mar 14. |
| DOI: | 10.7759/cureus.2325 |
| Abstrakt: | The differential diagnosis of myocardial infarction in patients with a number of potential causes can be challenging, especially when there is no angiographic evidence of coronary obstruction. We describe a case of extensive anterior ST-elevation myocardial infarction in a young male smoker who had a left atrial myxoma and a history of cocaine use 10 hours before the event. Clinical reasoning during a myocardial infarction investigation should be oriented by the probability of the causal relationship between the ischemic event and each factor present in the clinical context. Competing Interests: The authors have declared that no competing interests exist. |
| Databáze: | MEDLINE |
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