Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Case Reports
. 2017 Jul-Sep;27(3):99-100.
doi: 10.4103/jcecho.jcecho_3_17.

ST-elevation Myocardial Infarction: An Unusual Presentation of Infective Endocarditis

Nirajan Regmi  1 , Samiksha Pandey  1 , Saroj Neupane  2
Affiliations
Case Reports

ST-elevation Myocardial Infarction: An Unusual Presentation of Infective Endocarditis

Nirajan Regmi et al. J Cardiovasc Echogr. 2017 Jul-Sep.

Abstract

Acute coronary syndrome is an uncommon complication in patients with infective endocarditis, either in the acute phase of infection or later in the course. We describe a case of unusual presentation of infective endocarditis as ST-elevation myocardial infarction secondary to coronary embolization from mitral valve endocarditis.

Keywords: Acute coronary syndromes; ST-elevation myocardial infarction; infective endocarditis.

PubMed Disclaimer

Conflict of interest statement

There are no conflicts of interest.

Figures

Figure 1
Figure 1
Electrocardiogram on presentation showing atrial fibrillation with rapid ventricular response, left axis deviation and ST-elevation with Q waves in anterolateral leads. Q waves were also noted in inferior leads
Figure 2
Figure 2
Coronary angiogram showing left coronary system. Complete occlusion of distal left anterior descending artery with thrombolysis in myocardial infarction (TIMI) 0 flow (arrow). The vessels otherwise had smooth lumens without evidence of atherosclerotic disease
Figure 3
Figure 3
Transesophageal echocardiogram showing a large (16 mm × 20 mm), mobile, multilobulated vegetation on anterior mitral valve leaflet (arrows) without significant regurgitation. There was no left atrial appendage thrombus
Figure 4
Figure 4
T2-weighted magnetic resonance imaging of the brain showing multiple embolic strokes (arrow)
See this image and copyright information in PMC

References

    1. Manzano MC, Vilacosta I, San Román JA, Aragoncillo P, Sarriá C, López D, et al. Acute coronary syndrome in infective endocarditis. Rev Esp Cardiol. 2007;60:24–31. - PubMed
    1. Vilacosta I, Graupner C, San Román JA, Sarriá C, Ronderos R, Fernández C, et al. Risk of embolization after institution of antibiotic therapy for infective endocarditis. J Am Coll Cardiol. 2002;39:1489–95. - PubMed
    1. Herzog CA, Henry TD, Zimmer SD. Bacterial endocarditis presenting as acute myocardial infarction: A cautionary note for the era of reperfusion. Am J Med. 1991;90:392–7. - PubMed

Publication types