Author: Wu, Mu-Li; Xu, Duan-Min; Chen, Chang; Chen, Ye-Qun; Sun, Yi-Fan; Hu, Chuang-Jia
Title: Simultaneous coronary thrombosis with multisite myocardial infarction and complex malignant arrhythmia: A case report. Cord-id: h1pa1zpe Document date: 2020_7_2
ID: h1pa1zpe
Snippet: 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, percutaneou
Document: 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.
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