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- Title
Discordance between the Clinical Presentation and Morphology of Myocardial Infarction in a Patient with Acute post-Hemorrhagic Anemia.
- Authors
Hoang, Truong Huy; Lazarev, Pavel V.; Maiskov, Victor V.; Meray, Imad; Kobalava, Zhanna D.
- Abstract
While atherosclerotic plaque disruption remains the hallmark of type 1 myocardial infarction (T1MI), multiple other mechanisms provoking myocardial supply/demand mismatch (eg, anemia and tachyarrhythmias) are recognized as the potential causes of type 2 myocardial infarction (T2MI). In clinical practice, angiography is underutilized in patients with MI that have typical T2MI triggers, although the presence of these triggers and various forms of atherosclerotic coronary artery disease is not mutually exclusive. We describe a 70-year-old man that developed MI during hospitalization for gastrointestinal bleeding. He was treated conservatively without angiography due to posthemorrhagic anemia, which is a recognized T2MI trigger, and subsequently developed refractory cardiogenic shock. Autopsy revealed atherothrombosis, which is characteristic of T1MI.
- Subjects
ANEMIA; HEMORRHAGE; ISCHEMIA; MYOCARDIAL infarction; MYOCARDIUM; CORONARY angiography; SYMPTOMS
- Publication
Journal of Tehran University Heart Center, 2020, Vol 15, Issue 3, p136
- ISSN
1735-8620
- Publication type
Article