Embolic myocardial infarction with cardiac arrest as an initial manifestation of non-bacterial thrombotic endocarditis.

Autor: Hansen AC; Department of Internal Medicine, University of Kentucky College of Medicine, Lexington, Kentucky, USA., Piranavan P; Department of Rheumatology, University of Kentucky Medical Center, Lexington, KY, USA., Kundu A; Department of Cardiovascular Medicine, Gill Heart & Vascular Institute, Lexington, KY, USA., A El-Dalati S; Department of Infectious Disease, University of Kentucky Medical Center, Lexington, KY, USA., Ahmed T; Department of Internal Medicine, University of Kentucky College of Medicine, Lexington, Kentucky, USA tahaahmedfairview@gmail.com.
Jazyk: angličtina
Zdroj: BMJ case reports [BMJ Case Rep] 2023 Nov 01; Vol. 16 (11). Date of Electronic Publication: 2023 Nov 01.
DOI: 10.1136/bcr-2023-257466
Abstrakt: Non-bacterial thrombotic endocarditis, characterised by sterile vegetations, is commonly caused by systemic lupus erythematosus and is known to be complicated with embolic cerebrovascular disease. Embolic myocardial infarction with non-bacterial thrombotic endocarditis is extremely rare. We report a case of ventricular fibrillation arrest from presumed coronary embolisation in non-bacterial thrombotic endocarditis. While there are no standardised guidelines on the management of embolic myocardial infarction in endocarditis, it requires a multidisciplinary approach unique for every encountered clinical scenario.
Competing Interests: Competing interests: None declared.
(© BMJ Publishing Group Limited 2023. No commercial re-use. See rights and permissions. Published by BMJ.)
Databáze: MEDLINE