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dc.contributor.authorCohen, Seth
dc.contributor.authorFord, Lucie
dc.contributor.authorSitu-LaCasse, Elaine
dc.contributor.authorTolby, Noah
dc.date.accessioned2021-04-23T01:15:05Z
dc.date.available2021-04-23T01:15:05Z
dc.date.issued2020-10-29
dc.identifier.citationCohen, S., Ford, L., Situ-LaCasse, E., & Tolby, N. (2020). Infective Endocarditis Causing Acute Myocardial Infarction. Cureus, 12(10).en_US
dc.identifier.issn2168-8184
dc.identifier.doi10.7759/cureus.11245
dc.identifier.urihttp://hdl.handle.net/10150/657898
dc.description.abstractEndocarditis is a well-known disease, yet septic embolization resulting in myocardial infarction is much rarer and very infrequently diagnosed in the emergency department (ED). Point-of-Care-Ultrasound (POCUS) can be used to confirm clinical suspicion within minutes of patient presentation, thereby expediting patient care. We report the case of a 26-year-old female with known intravenous drug use who presented with altered mental status. Her clinical presentation prompted urgent evaluation in the ED with POCUS which showed a hyperdynamic functioning left ventricle, greater than 50% inferior vena cava collapse, and a large tricuspid valve vegetation. In light of the electrocardiogram (ECG) ST changes suggesting an acute myocardial infarction, the patient was emergently taken to the cardiac catheterization laboratory where coronary angiography revealed multiple coronary emboli. Primary diagnoses included endocarditis due to Staphylococcus, septic pulmonary embolism, and ST-elevated myocardial infarction (STEMI) due to embolic occlusion of the distal left anterior descending artery. Myocardial infarction caused by septic embolization from endocarditis is a rare condition; however, POCUS is a quick, non-invasive tool that can aid the emergency medicine (EM) physician in identifying this life-threatening pathology thereby expediting appropriate care for the patient.en_US
dc.language.isoenen_US
dc.publisherCUREUS INCen_US
dc.rights© Copyright 2020 Cohen et al. This is an open access article distributed under the terms of the Creative Commons Attribution License CC-BY 4.0.en_US
dc.rights.urihttps://creativecommons.org/licenses/by/4.0/en_US
dc.subjectendocarditisen_US
dc.subjectseptic pulmonary embolismen_US
dc.subjectstemien_US
dc.subjectpocusen_US
dc.titleInfective Endocarditis Causing Acute Myocardial Infarctionen_US
dc.typeArticleen_US
dc.contributor.departmentUniv Arizona, Emergency Meden_US
dc.identifier.journalCUREUSen_US
dc.description.noteOpen access journalen_US
dc.description.collectioninformationThis item from the UA Faculty Publications collection is made available by the University of Arizona with support from the University of Arizona Libraries. If you have questions, please contact us at repository@u.library.arizona.edu.en_US
dc.eprint.versionFinal published versionen_US
dc.source.journaltitleCureus
refterms.dateFOA2021-04-23T01:15:07Z


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© Copyright 2020 Cohen et al. This is an open access article distributed under the terms of the Creative Commons Attribution License CC-BY 4.0.
Except where otherwise noted, this item's license is described as © Copyright 2020 Cohen et al. This is an open access article distributed under the terms of the Creative Commons Attribution License CC-BY 4.0.