CLINICAL CASE: TYPE II ACUTE MYOCARDIAL INFARCTION (EMBOLOGENIC) IN A PATIENT WITH INFECTIVE ENDOCARDITIS

Abstract

Although acute myocardial infarction (AMI) due to atherosclerosis is one of the leading causes of mortality worldwide, other causes should also be considered in clinical practice. Nowadays, many clinical studies show that infectious and inflammatory processes can be the cause of myocardial infarction. According to the available data, coronary embolism due to infective endocarditis (IE) can also lead to AMI. Our report is about a rare case of a patient with AMI due to coronary embolism caused by infective endocarditis. A 72-year-old man with high ischemic heart disease (IHD) risk factors presented with severe chest pain after an episode of exacerbation of chronic pyelonephritis. The diagnosis is a second type of myocardial infarction (embolic) with ST-elevation of the anterolateral wall of the left ventricle (LV) with thrombotic occlusion of D1.