Acute Embolic Myocardial Infarction Related to Atrial Fibrillation: Case Report
Published: 2024-10-19
Page: 312-318
Issue: 2024 - Volume 7 [Issue 1]
Jihane FAGOURI
*
Cardiology Department, Mohamed V Military Training Hospital, Rabat, Morocco.
Soukaina KADIRI
Cardiology Department, Mohamed V Military Training Hospital, Rabat, Morocco.
Nabil LAKTIB
Cardiology Department, Mohamed V Military Training Hospital, Rabat, Morocco.
Youssef FIHRI
Cardiology Department, Mohamed V Military Training Hospital, Rabat, Morocco.
Zouhair LAKHAL
Cardiology Department, Mohamed V Military Training Hospital, Rabat, Morocco.
Aatif BENYASS
Cardiology Department, Mohamed V Military Training Hospital, Rabat, Morocco.
*Author to whom correspondence should be addressed.
Abstract
Atrial fibrillation increases the risk of stroke fivefold, while other systemic embolisms are less common. The incidence of myocardial infarction due to coronary embolism ranges between 4-5%. Atrial fibrillation related coronary embolism remains an underappreciated cause of acute coronary syndromes.
We present the case of a 66-year-old male with well-controlled hypertension and untreated atrial fibrillation. He arrived at the emergency department with acute chest pain, which was diagnosed as an inferior myocardial infarction. Coronary angiography revealed a high thrombotic burden in the right coronary artery without any underlying atherosclerosis. The patient was treated with antithrombotic therapy, and a follow-up coronary angiography 48 hours later showed satisfactory results. He was counseled on the importance of adherence to treatment and the need for long-term follow-up.
Keywords: Acute embolic myocardial infarction, atrial fibrillation, coronary embolism, acute coronary syndromes