Rare Coronary Embolism Secondary to Cardioversion of Atrial Fibrillation.
atrial fibrillation (af)
cardiac magnetic resonance (cmr)
coronary artery embolism
coronary embolism
direct current cardioversion (dccv)
microvascular obstruction (mvo)
minoca
myocardial infarction with non-obstructive coronary arteries (minoca)
Journal
Cureus
ISSN: 2168-8184
Titre abrégé: Cureus
Pays: United States
ID NLM: 101596737
Informations de publication
Date de publication:
Apr 2022
Apr 2022
Historique:
accepted:
21
04
2022
entrez:
25
5
2022
pubmed:
26
5
2022
medline:
26
5
2022
Statut:
epublish
Résumé
The diagnosis and management of myocardial infarction with nonobstructive coronary arteries (MINOCA) are difficult due to its variable presentations, different causes, and challenging diagnostic approaches. Cardiac imaging modalities including cardiac magnetic resonance (CMR) are very useful tools for diagnosing and managing MINOCA. Myocardial infarction (MI) can be caused by coronary emboli that can be contributed to atrial fibrillation (AF). Rarely, coronary embolism with resultant MINOCA can occur after direct current cardioversion (DCCV) even in fully anticoagulated patients. We present a rare case of a coronary embolism following DCCV as well as a CMR finding of microvascular obstruction (MVO), which has not previously been reported after DCCV. This case also emphasizes the value of obtaining a CMR for patients with MINOCA.
Identifiants
pubmed: 35611046
doi: 10.7759/cureus.24354
pmc: PMC9124055
doi:
Types de publication
Case Reports
Langues
eng
Pagination
e24354Informations de copyright
Copyright © 2022, Alkhatib et al.
Déclaration de conflit d'intérêts
The authors have declared that no competing interests exist.
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