title: ST-elevation myocardial infarction following systemic inflammatory response syndrome.
abstract: Systemic inflammatory response syndrome (SIRS) complicated with ST-elevation myocardial infarction has rarely been reported, and the precise mechanisms of myocardial injury remain unclear. Here, we present a case involving a 45-year-old man who developed SIRS secondary to diabetes-induced infection, and who ultimately developed ST-elevation myocardial infarction with acute heart failure, fulminant diabetes, acute liver dysfunction, acute kidney dysfunction and rhabdomyolysis. The patient eventually recovered due to early detection, correct diagnosis and powerful treatment. Clinicians should be aware of this new type of myocardial infarction, which is induced by inflammatory injury, but is not due to a primary coronary event such as plaque erosion and/or rupture, fissuring or dissection.
authors.affiliation: Division of Cardiology, Nanfang Hospital, Southern Medical University, Guangzhou, Guangdong, China; Division of Cardiology, The First People's Hospital of Shunde, Guangdong, China.
authors.forename: Ying
authors.initials: Y
authors.lastname: Tan
authors.affiliation: Division of Cardiology, Nanfang Hospital, Southern Medical University, Guangzhou, Guangdong, China.
authors.forename: Yan
authors.initials: Y
authors.lastname: Tu
authors.affiliation: Division of Cardiology, Nanfang Hospital, Southern Medical University, Guangzhou, Guangdong, China.
authors.forename: Di
authors.initials: D
authors.lastname: Tian
authors.affiliation: Division of Cardiology, Nanfang Hospital, Southern Medical University, Guangzhou, Guangdong, China.
authors.forename: Chen
authors.initials: C
authors.lastname: Li
authors.affiliation: Division of Cardiology, Nanfang Hospital, Southern Medical University, Guangzhou, Guangdong, China.
authors.forename: Jian-Kai
authors.initials: JK
authors.lastname: Zhong
authors.affiliation: Division of Cardiology, Nanfang Hospital, Southern Medical University, Guangzhou, Guangdong, China. guozhigang126@126.com.
authors.forename: Zhi-Gang
authors.initials: ZG
authors.lastname: Guo
mesh_terms: D017023:Coronary Angiography; D048909:Diabetes Complications / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy; D004562:Electrocardiography; D006801:Humans; D008297:Male; D008875:Middle Aged; D009102:Multiple Organ Failure / Q000209:etiology; D009203:Myocardial Infarction / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy; D018410:Pneumonia, Bacterial / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy; D011237:Predictive Value of Tests; D012307:Risk Factors; D018746:Systemic Inflammatory Response Syndrome / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy; D016896:Treatment Outcome; D018084:Ultrasonography, Interventional