scholarly journals Infective Endocarditis with an Acute Myocardial Infarction

2016 ◽  
Vol 45 (3) ◽  
pp. 121-125
Author(s):  
Keisuke Nonoyama ◽  
Takayuki Saito ◽  
Yukihide Numata ◽  
Yuji Yamanaka
Keyword(s):  
Myocardial Infarction ◽  
Acute Myocardial Infarction ◽  
Infective Endocarditis

scholarly journals Infective Endocarditis Causing Acute Myocardial Infarction

Cureus ◽  
2020 ◽  
Author(s):  
Seth Cohen ◽  
Lucie Ford ◽  
Elaine Situ-LaCasse ◽  
Noah Tolby
Keyword(s):  
Myocardial Infarction ◽  
Acute Myocardial Infarction ◽  
Infective Endocarditis

scholarly journals Acute Myocardial Infarction Caused by Infective Endocarditis

2014 ◽  
Vol 63 (7) ◽  
pp. e13 ◽  
Author(s):  
Sharad Bajaj ◽  
Medhat F. Zaher ◽  
Emile Doss ◽  
Aiman Hamdan ◽  
Mahesh Bikkina ◽  
...  
Keyword(s):  
Myocardial Infarction ◽  
Acute Myocardial Infarction ◽  
Infective Endocarditis

scholarly journals P181 An uncommon mechanism of severe mitral regurgitation due to infective endocarditis mimicking acute myocardial infarction

2020 ◽  
Vol 21 (Supplement_1) ◽  
Author(s):  
A Collevecchio ◽  
G Simeti ◽  
M Previtero ◽  
S Iliceto ◽  
D Muraru ◽  
...  
Keyword(s):  
Myocardial Infarction ◽  
Acute Myocardial Infarction ◽  
Infective Endocarditis ◽  
Mitral Regurgitation ◽  
Coronary Arteries ◽  
Papillary Muscle ◽  
Distal Part ◽  
Troponin I ◽  
Blood Cultures ◽  
Coronary Syndrome

Abstract A 53-year-old man, smoker, with diabetes mellitus, presented to the Emergency Department because of intense chest and abdominal pain, accompanied by dyspnea and high fever (39.5 °C) in the previous 4 days. Physical examination revealed an apical holosystolic murmur, with no signs of peripheral or pulmonary edema. An ECG showed sinus rhythm (90 bpm), complete right bundle branch block and minimal ST elevation in the inferior leads. A transthoracic echocardiography showed a mild reduction in left ventricle ejection fraction (EF 44%) due to akinesia of the infero-lateral wall, and mild mitral regurgitation (MR) due to mitral valve prolapse. An abdominal ultrasound ruled out signs of acute cholecystitis. Blood cultures were collected, and an empirical antibiotic therapy was started. Urgent blood exam showed high Troponin I (72000 ng/L) and high C-reactive protein (290 mg/L). An acute coronary syndrome was suspected based on clinical, ECG and echocardiography exam, and the patient underwent coronary angiography (Figure 1, Panel A) that showed no significant coronary stenosis, except for two small filling defects in the very distal part of both the left anterior descendent and the circumflex coronary arteries suspected for coronary emboli. The patient was then admitted in the coronary care unit, but after just a few hours his clinical and hemodynamic condition deteriorated. A transesophageal echocardiography was performed to rule out mechanical complications related to the acute myocardial infarction and revealed severe MR (Panel D), elongated, hyperechogenic and dysfunctioning antero-lateral papillary muscle (ALPM) with an abnormal mobility suggestive for myocardial abscess, and a mobile mass attached on the aortic valve suggestive for vegetation (Panel B and C). Due to the worsening hemodynamic status, the patient underwent urgent cardiac surgery. Histological analysis confirmed the presence of an abscess of the ALPM due to Staphylococcus Aureus. The patient died after a week because of cerebral hemorrhage. Autopsy reported multiple lungs, renal and cerebral embolic septic infarctions. Learning points coronary artery embolization and papillary muscle abscess are very rare and often fatal consequences of infective endocarditis (IE). High (otherwise unexplained) fever and signs of embolism are minor Duke modified criteria for IE that should lead the physician to look for major criteria, such as positive blood cultures or echocardiography suggestive for IE. Emboli seen in the very distal part of the coronary arteries might have caused the ALPM abscess. Abstract P181 Figure

scholarly journals Acute kidney injury with cardiorenal syndrome; experience from a tertiary care renal unit in Pakistan

2020 ◽  
Vol 10 (4) ◽  
pp. e29-e29
Author(s):  
Rubina Naqvi
Keyword(s):  
Myocardial Infarction ◽  
Heart Failure ◽  
Acute Myocardial Infarction ◽  
Acute Kidney Injury ◽  
Infective Endocarditis ◽  
Cardiac Failure ◽  
Kidney Injury ◽  
Congestive Cardiac Failure ◽  
Fluid Replacement ◽  
Partial Recovery

Introduction: Acute kidney injury (AKI) is a commonly recognized clinical problem after many morbid conditions related to heart like congenital heart disease surgery, acute or chronic congestive heart failure, acute myocardial infarction, infective endocarditis or cardiomyopathies. Cardio-renal syndrome (CRS) includes a spectrum of disorders involving both the heart and kidneys simultaneously; here acute or chronic dysfunction in one organ may induce acute or chronic dysfunction in the other. Objectives: To report here, case series of patients with AKI developing in association with CRS. We aim to report different causes of CRS and outcome of patients in this group of patients. Patients and Methods: Subjects for the study reported here comprised a cohort of 34 patients coming to this institution with AKI in association of CRS. AKI was defined according to KDIGO guidelines and CRS based on consensus conference of ADQI in 2012. Type 1or type2 CRS are included in the study. All patients had normal size kidneys on ultrasonography. Results: Thirty-four patients with AKI and CRS were brought to this institute from January 1990 to December 2014; this was contributing 1% to medical causes of total AKI. Among these 25 were males and 9 females; mean age of these patients was 54.06±14.106 years. Causes of CRS were acute myocardial infarction (ST elevated), congestive cardiac failure, infective endocarditis and dilated cardiomyopathy. More than two third of patients were either oliguric or anuric on presentation. Fluid replacement and/or inotropic support required in 79%. Renal replacement therapy in form of hemodialysis was conducted in 64.7% and intermittent peritoneal dialysis in one patient. Complete renal recovery was observed in 19 (56%) patients, while 12 (35%) died during acute phase of illness. CKD-V developed in one patient, 2 patients lost long term follow up, but became dialysis free and renal functions were in improving trends, they were labeled as partial recovery. Secondary insults like hypotension, aggressive diuresis, and volume loss from gastro-intestinal tract or infection were evaluated for any co-relation with outcome but statistically no significant difference was found. Conclusion: CRS can be severe life-threatening condition especially when patients present with circulatory collapse. Diuretics must be used cautiously in patients with congestive cardiac failure. Infective endocarditis with acute right heart failure can lead to CRS.

scholarly journals A Case of Prosthetic Infective Endocarditis with Acute Myocardial Infarction due to Septic Embolism

2019 ◽  
Vol 48 (1) ◽  
pp. 56-59
Author(s):  
Shogo Oyama ◽  
Takeshi Osaki ◽  
Azuma Tabayashi ◽  
Tomoyuki Iwase ◽  
Kazuya Kumagai ◽  
...  
Keyword(s):  
Myocardial Infarction ◽  
Acute Myocardial Infarction ◽  
Infective Endocarditis ◽  
Septic Embolism

scholarly journals An unusual case of infective endocarditis presenting as acute myocardial infarction

2009 ◽  
Vol 2009 (may12 1) ◽  
pp. bcr1220081333-bcr1220081333
Author(s):  
Z. Chen ◽  
F. Ng ◽  
T. Nageh
Keyword(s):  
Myocardial Infarction ◽  
Acute Myocardial Infarction ◽  
Infective Endocarditis ◽  
Unusual Case

scholarly journals Acute myocardial infarction as the first sign of infective endocarditis: a case report

2020 ◽  
Vol 48 (12) ◽  
pp. 030006052098059
Author(s):  
Jian Zhao ◽  
Jing Yang ◽  
Wei Chen ◽  
Xiaomin Yang ◽  
Yaoting Liu ◽  
...  
Keyword(s):  
Myocardial Infarction ◽  
Acute Myocardial Infarction ◽  
Infective Endocarditis ◽  
Mitral Valve ◽  
Coronary Angiography ◽  
Heart Valves ◽  
Circumflex Artery ◽  
Left Circumflex Artery ◽  
Artery Embolism ◽  
Coronary Artery Embolism

Infective endocarditis is a bacterial or fungal infection of the heart valves or endocardial surface, and it frequently forms vegetation and can lead to systemic embolism. Dislodged vegetation rarely results in coronary artery embolism (CAE) and subsequent acute myocardial infarction. A 43-year-old male patient was emergently brought to our hospital for suspected acute myocardial infarction. Coronary angiography was performed and it showed embolism in the left circumflex artery. Thrombus aspiration was performed during coronary angiography. Echocardiography showed formation of vegetation in the posterior leaflet of the mitral valve and multiple blood cultures showed Listeria monocytogenes. Infective endocarditis was diagnosed. Three weeks later, debridement of subacute bacterial endocarditis, mitral valve replacement, and tricuspid valvuloplasty were successfully conducted. Our findings suggest that CAE should be considered in the differential diagnosis of acute myocardial infarction. Aspiration of coronary embolus during coronary angiography followed by surgical intervention of diseased heart valves is a plausible strategy for managing CAE in infective endocarditis.

scholarly journals Acute coronary syndrome, a rare manifestation of infective endocarditis: a case report

2020 ◽  
Vol 0 (Ahead of Print) ◽  
Author(s):  
Fabio Tagliari ◽  
Caio Leal Ribeiro ◽  
Gabriel Padua Valladao de Carvalho ◽  
Lais Pedroso Tagliari ◽  
Cristiane Lamas
Keyword(s):  
Myocardial Infarction ◽  
Acute Myocardial Infarction ◽  
Infective Endocarditis ◽  
Young Male ◽  
Circumflex Artery ◽  
Coronary Syndrome ◽  
Obstructive Lesion ◽  
Systemic Embolization ◽  
Coronary Embolization ◽  
Rare Manifestation

Systemic embolization in infective endocarditis is common, occurring in 45-65% of cases. However, the septic coronary embolization is a complication rarely described as a cause of acute myocardial infarction (AMI). The presentation of chest pain as the first manifestation of endocarditis is associated with a poor prognosis. Mitral valve endocarditis with embolization to the left anterior descending coronary is the most common situation described in the literature. We present a case of a young male patient with typical angina caused by acute myocardial infarction, who had an obstructive lesion to the marginal branch of the circumflex artery in the angiography, and was later diagnosed with aortic valve endocarditis. Key words: infective endocarditis; embolism; coronary artery; acute myocardial infarction

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