Acute ST Segment Elevation Myocardial Infarction and Massive Pericardial Effusion Due to Infective Endocarditis

Clinical Practice and Cases in Emergency Medicine
Maxwell ThompsonBlayke Gibson

Abstract

Chest pain is a common complaint evaluated in the emergency department. While chest pain in a 22-year-old patient is typically a complaint of low acuity, high-acuity cases that rival those of the older patient population are well documented. We describe a case of complicated infective endocarditis in which point-of-care ultrasound (POCUS) aided the diagnosis of ST-elevation myocardial infarction secondary to a septic thrombus in a 22-year-old female with a history of intravenous drug use. Emergency physicians should be aware of the rare high-acuity cases as well as the impact of POCUS on rapid clinical assessment and treatment of patients of all ages presenting with chest pain.

References

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Sep 24, 2013·The American Journal of Cardiology·Ander RegueiroUNKNOWN Hospital Clínic Endocarditis Study Group
Feb 7, 2014·JAMA Dermatology·Amandine ServyUNKNOWN Association Pour l'Etude et la Prévention de l'Endocardite Infectieuse Study Group
Jan 1, 2016·Postgraduate Medical Journal·Thomas ColvilleKhaled Albouaini

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Citations

Dec 31, 2019·Experimental and Therapeutic Medicine·Junquan GuYinming Wang

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