Underlying cause discovered for a prior idiopathic AMI

R. Godfrey, R. O'Hanlon, M. Wilson, J. Buckley, S. Sharma, G. Whyte

Research output: Contribution to journalComment/debate

1 Citation (Scopus)

Abstract

The authors previously reported on an active, young male with normal coronaries who sustained an acute myocardial infarction (AMI). The acute cause was a coronary thrombus; however, the cause of this thrombus and a definitive diagnosis remained elusive for 18 months until a new series of events, including symptoms of breathlessness, dizziness and collapse led to acute hospital admission. CT scan revealed numerous deep venous thromboses in the right leg and bilateral pulmonary emboli (PE). Acute pharmacological thrombolysis eliminated breathlessness and significantly reduced the risk of mortality. Clinical consensus suggests a coagulopathy, requiring indefinite treatment with Warfarin. In young individuals presenting with AMI, lifestyle, personal, family and clinical history should be considered and coronary artery disease should not be assumed until further tests have eliminated coagulopathy. In those presenting with breathlessness and a history which includes AMI, a CT scan is indicated to eliminate concerns of venous thromboembolism generally and PE specifically where untreated survival times are short.

Original languageEnglish
Pages (from-to)1-4
Number of pages4
JournalBMJ Case Reports
Volume2011
DOIs
Publication statusPublished - 2011
Externally publishedYes

Fingerprint

Dyspnea
Myocardial Infarction
Embolism
Thrombosis
Lung
Venous Thromboembolism
Dizziness
Warfarin
Venous Thrombosis
Life Style
Coronary Artery Disease
Leg
Consensus
History
Pharmacology
Mortality

Cite this

Godfrey, R., O'Hanlon, R., Wilson, M., Buckley, J., Sharma, S., & Whyte, G. (2011). Underlying cause discovered for a prior idiopathic AMI. BMJ Case Reports, 2011, 1-4. https://doi.org/10.1136/bcr.02.2011.3799
Godfrey, R. ; O'Hanlon, R. ; Wilson, M. ; Buckley, J. ; Sharma, S. ; Whyte, G. / Underlying cause discovered for a prior idiopathic AMI. In: BMJ Case Reports. 2011 ; Vol. 2011. pp. 1-4.
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Godfrey, R, O'Hanlon, R, Wilson, M, Buckley, J, Sharma, S & Whyte, G 2011, 'Underlying cause discovered for a prior idiopathic AMI', BMJ Case Reports, vol. 2011, pp. 1-4. https://doi.org/10.1136/bcr.02.2011.3799

Underlying cause discovered for a prior idiopathic AMI. / Godfrey, R.; O'Hanlon, R.; Wilson, M.; Buckley, J.; Sharma, S.; Whyte, G.

In: BMJ Case Reports, Vol. 2011, 2011, p. 1-4.

Research output: Contribution to journalComment/debate

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AB - The authors previously reported on an active, young male with normal coronaries who sustained an acute myocardial infarction (AMI). The acute cause was a coronary thrombus; however, the cause of this thrombus and a definitive diagnosis remained elusive for 18 months until a new series of events, including symptoms of breathlessness, dizziness and collapse led to acute hospital admission. CT scan revealed numerous deep venous thromboses in the right leg and bilateral pulmonary emboli (PE). Acute pharmacological thrombolysis eliminated breathlessness and significantly reduced the risk of mortality. Clinical consensus suggests a coagulopathy, requiring indefinite treatment with Warfarin. In young individuals presenting with AMI, lifestyle, personal, family and clinical history should be considered and coronary artery disease should not be assumed until further tests have eliminated coagulopathy. In those presenting with breathlessness and a history which includes AMI, a CT scan is indicated to eliminate concerns of venous thromboembolism generally and PE specifically where untreated survival times are short.

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Godfrey R, O'Hanlon R, Wilson M, Buckley J, Sharma S, Whyte G. Underlying cause discovered for a prior idiopathic AMI. BMJ Case Reports. 2011;2011:1-4. https://doi.org/10.1136/bcr.02.2011.3799