International Journal of Cardiovascular Practice:
Vol.2, issue 4; 93-94
published online:
October
01,
2017
article type:
Case Report
received:
August
10,
2016
accepted:
September
15,
2016
A Mysterious Case of ST-Elevation Myocardial Infarction; an Old Man with Weight Loss and Dyspepsia
authors:
Morteza Safi
1
,
Isa Khaheshi
1
, *
,
Mehdi Memaryan
1
,
Mohammadreza Naderian
2
Cardiovascular Research Center, Modarres hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran
Non-Communicable Diseases Research Center, Endocrinology and Metabolism Population Sciences Institute, Tehran University of Medical Sciences, Tehran, Iran
how to cite:
Safi
M, Khaheshi
I , Memaryan
M, Naderian
M. A Mysterious Case of ST-Elevation Myocardial Infarction; an Old Man with Weight Loss and Dyspepsia. Int J Cardiovasc Pract. 2017;2(4):e130075.
Abstract
We present a 65-year-old man who developed retrosternal compressive chest pain. A 12-lead electrocardiography demonstrated ST-segment elevation in leads II, III and aVF. Emergent coronary angiography showed significant thrombus in the distal portion of the left main coronary artery. Abdomino-pelvic computed tomography scan, which was performed the next day, confirmed a pancreatic mass with peritoneal seedings, compatible with peritoneal carcinomatosis. This case underscores the importance of malignancies that may lead to a catastrophic ST-elevation myocardial infarction due to a hypercoagulable state and following thrombosis in the left main coronary artery.