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Case Reports
. 2023 Nov 2;11(11):e8133.
doi: 10.1002/ccr3.8133. eCollection 2023 Nov.

Rhabdomyolysis as cause, consequence, or mimicker of myocardial infarction: A case report

Marina Nasello  1 , Mariachiara Ippolito  1   2 , Antonino Federico  2 , Fiammetta Ronga  2 , Antonino Di Fede  1 , Salvatore Campanella  1 , Sara Accetta  1 , Alessandra Gargano  1 , Giulia Lo Scrudato  1 , Lucrezia Urso  1 , Antonino Giarratano  1   2 , Andrea Cortegiani  1   2
Affiliations
Case Reports

Rhabdomyolysis as cause, consequence, or mimicker of myocardial infarction: A case report

Marina Nasello et al. Clin Case Rep. .

Abstract

Key clinical message: A timely diagnosis is essential to start appropriate therapy and to reduce risks of life-threatening complications of rhabdomyolysis. Some cases can undergo differential diagnosis with other clinical conditions, e.g., myocardial infarction.

Abstract: We present the case of a 65-years-old male who was admitted to the emergency department with a clinical presentation related to myocardial infarction. The patient underwent coronary angioplasty and was then admitted to ICU due to hemodynamical instability, elevated potassium levels, and anuria. Further investigations revealed rhabdomyolysis. The patient received vasopressors, oxygenation support and renal replacement therapy. Outcomes at ICU discharge were favorable. The temporal association between rhabdomyolysis and myocardial infarction, together with an unclear pathophysiological relationship, made differential diagnosis difficult. We discuss this uncertainty in light of published literature.

Keywords: ICU; acute kidney injury; continuous renal replacement therapy; myocardial infarction; rhabdomyolysis.

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Conflict of interest statement

Mariachiara Ippolito is an Associate Editor for Clinical Case Reports. All the other authors declare no conflicts of interest.

References

    1. Kodadek L, Carmichaell SP, Seshadri A, et al. Rhabdomyolysis: an American Association for the Surgery of Trauma Critical Care Committee clinical consensus document. Trauma Surg Acute Care Open. 2022;7(1):e000836. - PMC - PubMed
    1. Torres PA, Helmstetter JA, Kaye AM, Kaye AD. Rhabdomyolysis: pathogenesis, diagnosis and treatment. Ochsner J. 2015;15(1):58‐69. - PMC - PubMed
    1. Vanholder R, Sever MS, Erek E, Lameire N. Rhabdomyolysis. J Am Soc Nephrol. 2000;11(8):1553‐1561. - PubMed
    1. Nance JR, Mammen AL. Diagnostic evaluation of rhabdomyolysis. Muscle Nerve. 2015;51(6):793‐810. - PMC - PubMed
    1. Stark M, Kerndt CC, Sharma S. Troponin . StatPearls Publishing. 2023. PMID: 29939582. - PubMed

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