title: Coronary thromboembolic acute myocardial infarction due to paroxysmal atrial fibrillation occurring after non-cardiac surgery.
abstract: Acute myocardial infarction is a well know precipitant of atrial fibrillation, but it is also becoming increasingly recognised that atrial fibrillation is a direct and indirect cause of acute myocardial infarction. Current guidelines do not recommend anticoagulation therapy in patients undergoing cardiac surgery who have a brief episode of atrial fibrillation lasting less than 48 h. However, recommendations for the management of atrial fibrillation following non-cardiac surgery are less clear. We describe the case of a 70-year-old man undergoing non-cardiac surgery, who developed a short episode of perioperative atrial fibrillation and later presented with thromboembolic acute myocardial infarction due to a thrombotic occlusion of the right coronary artery.
authors: Crochan John
authors: CJ
authors: O'Sullivan
authors: Department of Cardiology, Stadtspital Triemli, Zurich, Switzerland.
authors: Crochan John
authors: CJ
authors: OSullivan
authors: Department of Cardiology, Stadtspital Triemli, Zurich, Switzerland.
authors: Martin
authors: M
authors: Sprenger
authors: Department of Cardiology, Stadtspital Triemli, Zurich, Switzerland.
authors: David
authors: D
authors: Tueller
authors: Department of Cardiology, Stadtspital Triemli, Zurich, Switzerland.
authors: Franz Robert
authors: FR
authors: Eberli
mesh_terms: D000368:Aged; D001281:Atrial Fibrillation / Q000150:complications*; D017081:Cholecystectomy, Laparoscopic; D017023:Coronary Angiography; D003328:Coronary Thrombosis / Q000150:complications* / Q000175:diagnosis / Q000628:therapy; D004562:Electrocardiography; D005343:Fibrinolytic Agents / Q000627:therapeutic use; D006801:Humans; D008297:Male; D009203:Myocardial Infarction / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy; D062645:Percutaneous Coronary Intervention; D010975:Platelet Aggregation Inhibitors / Q000627:therapeutic use; D011183:Postoperative Complications; D016896:Treatment Outcome
chemical_list: D005343:Fibrinolytic Agents; D010975:Platelet Aggregation Inhibitors