Open AccessSimultaneous coronary thrombosis with multisite myocardial infarction and complex malignant arrhythmia
Author(s) -
Min Wu,
Duan Xu,
Chen Chang,
Y. M. Chen,
Yifan Sun,
Chongyu Hu
Publication year - 2020
Publication title -
medicine
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.59
H-Index - 148
eISSN - 1536-5964
pISSN - 0025-7974
DOI - 10.1097/md.0000000000020994
Subject(s) - medicine , cardiogenic shock , cardiology , myocardial infarction , coronary thrombosis , percutaneous coronary intervention , conventional pci , thrombosis , thrombus , chest pain
Abstract Introduction: Acute myocardial infarction with simultaneous coronary thrombosis has been rarely reported. This combination induces various arrhythmias and is a high-risk factor for cardiogenic shock. Patient concerns: A 65-year-old man presented with sweating and a 3-h abrupt persistent back pain that radiated to the anterior. Diagnosis: Multisite myocardial infarction, coronary thrombosis with and complex malignant arrhythmia Interventions: Prompt intervention includes cardiac pacing, percutaneous coronary intervention (PCI), thrombus aspiration and intra-aortic balloon pump (IABP). Outcomes: The patient was successfully rescued after PCI and thrombus aspiration. Conclusions: Recognition of dynamic electrocardiographic changes enhances our understanding of the pathogenesis of myocardial infarction.