Bacterial endocarditis presenting as acute myocardial infarction: A cautionary note for the era of reperfusion

Charles A. Herzog, Timothy D. Henry, Stevan D. Zimmer

Research output: Contribution to journalArticlepeer-review

54 Scopus citations

Abstract

Coronary embolism is a known complication of bacterial endocarditis that sometimes causes acute myocardial infarction. The necessity for rapidly restoring coronary artery perfusion and the time constraints governing clinical decisions may prevent endocarditis from being diagnosed before pharmacologic or mechanical thrombolysis. This report describes the first documented cases of coronary angioplasty in two patients with acute myocardial infarction caused by bacterial endocarditis, and reviews the literature on coronary artery complications of bacterial endocarditis. The first patient developed a coronary artery mycotic aneurysm at the dilatation site; the second experienced a small intracerebral hemorrhage following reperfusion. It is, of course, unwise to generalize from two cases, but we believe that in patients who are most likely to have endocarditis as the cause of acute myocardial infarction, the impulse to follow conventional strategies for coronary reperfusion should be tempered by thoughts of possible consequences.

Original languageEnglish (US)
Pages (from-to)392-397
Number of pages6
JournalThe American Journal of Medicine
Volume90
Issue number1
DOIs
StatePublished - Jan 1991

Fingerprint

Dive into the research topics of 'Bacterial endocarditis presenting as acute myocardial infarction: A cautionary note for the era of reperfusion'. Together they form a unique fingerprint.

Cite this