Acute myocardial infarction and transient ischemic attack in a patient with lone atrial fibrillation and normal coronary arteries

International Journal of Cardiology
Georgios Nikolaos ChlapoutakisDimitrios K Mpampalis

Abstract

We present the case of a 50-year old female with a history of paroxysmal atrial fibrillation and without any antithrombotic therapy, who was admitted to the neurologic department of our hospital with symptoms of cerebral ischemia. Two hours after the release of the neurological syndrome, she experienced an acute ST-segment elevation myocardial infarction (STEMI) of the inferior wall, which was not thrombolysed due to active menstruation. The coronary angiography was performed nine days later and it showed normal coronary arteries. This is the first case report of a TIA and an acute myocardial infarction due to atrial emboli, in a middle aged woman without any coronary lesions. In our opinion it points out the strength and the effectiveness of the internal fibrinolytic mechanisms.

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Citations

Apr 24, 2016·Journal of Stroke and Cerebrovascular Diseases : the Official Journal of National Stroke Association·Kou TokudaShinichi Yoshimura
May 28, 2014·International Journal of Cardiology·Laura GagliardiPierre-Vladimir Ennezat
Apr 13, 2021·Journal of Stroke and Cerebrovascular Diseases : the Official Journal of National Stroke Association·Adrien ArtusYves Cottin
Nov 7, 2020·Archives of Cardiovascular Diseases·Victor MioneYves Cottin
Oct 1, 2021·Neurological Sciences : Official Journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology·Elochukwu IbekweTamara Strohm

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