Acute coronary embolism complicating aortic valve endocarditis treated with streptokinase and aspirin. A case report.
Bacterial endocarditis may present with acute chest pain due to coronary embolization and mimics acute myocardial infarction secondary to coronary atherosclerosis. We present the first case report of coronary embolization secondary to aortic valve endocarditis treated with standard doses of streptokinase and aspirin. The patient survived but sustained a large myocardial infarction and a major gastrointestinal bleed. Infective endocarditis should be considered in all patients presenting with acute chest pain. When myocardial infarction is due to coronary embolism from endocarditic valves standard thrombolysis regimes should be avoided.
Connolly
D L
DL
Department of Cardiology, Papworth Hospital, Cambridge, United Kingdom.
Dardas
P S
PS
Crowley
J J
JJ
Kenny
A
A
Petch
M C
MC
D001021:Aortic Valve; D001241:Aspirin / Q000009:adverse effects / Q000627:therapeutic use; D004617:Embolism / Q000209:etiology; D004697:Endocarditis, Bacterial / Q000150:complications*; D006471:Gastrointestinal Hemorrhage / Q000139:chemically induced; D006349:Heart Valve Diseases / Q000150:complications; D006801:Humans; D008297:Male; D008875:Middle Aged; D009203:Myocardial Infarction / Q000188:drug therapy* / Q000209:etiology*; D013290:Streptococcal Infections / Q000150:complications; D013300:Streptokinase / Q000009:adverse effects / Q000627:therapeutic use; D015912:Thrombolytic Therapy / Q000009:adverse effects
D013300:Streptokinase; D001241:Aspirin