title: [Amaurosis fugax in inferior wall myocardial infarction with ST segment elevation].
abstract: The patient, a fifty nine year old male, was admitted to the ward with symptoms of inferior wall myocardial infarction with ST segment elevation combined with intermittent right side sight loss. Despite typical resting stenocardial chest pain, ST segment elevation in ECG, transient symptoms of acute heart failure and slightly elevated myocardial necrosis biomarkers, coronarography did not reveal obvious source of myocardial ischemia. Moreover, echocardiography did not confirm decreased ejection fraction. However further research confirmed critical stenosis of the left internal carotid artery and chronic occlusion of the right internal carotid artery. Several questions were raised during diagnostic process including: the cause of cardiac ischemia and the cause of cerebral ischemia. Clinical data analysis and available literature allowed authors to exclude cerebral ischemia as a source of ECG ischemic changes and to establish transient myocardial ischemia causing circulatory decompensation amplified by carotid arteries atherosclerosis as the source of neurological symptoms.
authors.affiliation: Polsko-Amerykańskie Kliniki Serca PAKS- Małopolskie Centrum Sercowo-Naczyniowe, ul.Topolowa 16, 32-500 Chrzanów; e-mail: ehrycek@gmail.com.
authors.forename: Eugeniusz
authors.initials: E
authors.lastname: Hrycek
authors.affiliation: Polsko-Amerykańskie Kliniki Serca PAKS- Małopolskie Centrum Sercowo-Naczyniowe.
authors.forename: Michał
authors.initials: M
authors.lastname: Bońkowski
authors.affiliation: Polsko-Amerykańskie Kliniki Serca PAKS- Małopolskie Centrum Sercowo-Naczyniowe.
authors.forename: Przemysław
authors.initials: P
authors.lastname: Nowakowski
authors.affiliation: Polsko-Amerykańskie Kliniki Serca PAKS- Małopolskie Centrum Sercowo-Naczyniowe.
authors.forename: Aleksander
authors.initials: A
authors.lastname: Żurakowski
authors.affiliation: Polsko-Amerykańskie Kliniki Serca PAKS- Małopolskie Centrum Sercowo-Naczyniowe.
authors.forename: Paweł
authors.initials: P
authors.lastname: Buszman
mesh_terms: D020757:Amaurosis Fugax / Q000150:complications*; D002545:Brain Ischemia / Q000150:complications*; D004562:Electrocardiography; D006801:Humans; D056989:Inferior Wall Myocardial Infarction / Q000150:complications*; D008297:Male; D008875:Middle Aged; D009203:Myocardial Infarction; D017202:Myocardial Ischemia / Q000150:complications*
keywords: carotid atherosclerosis; coronary artery disease; myocardial infarction