A STEMI Complicated by Cardiogenic Shock Due to Simultaneous Acute Thrombosis of Two Coronary Vessels in the ‘Deadly Double Infarct Syndrome’: A Case Report and Discussion of Literature
2024

A Case of STEMI with Cardiogenic Shock from Dual Coronary Thrombosis

Sample size: 1 publication Evidence: low

Author Information

Author(s): Guarnieri Gianluca, Mele Daniela, Briguglia Daniele, Medda Massimo, Conte Edoardo, Bartorelli Antonio, Andreini Daniele

Primary Institution: University of Milan

Conclusion

This case highlights the complexities of managing STEMI with cardiogenic shock due to simultaneous coronary thrombosis.

Supporting Evidence

  • Coronary angiography revealed significant occlusions in the proximal circumflex branch and the left anterior descending artery.
  • The patient experienced severe complications, including infections and pleural effusions.
  • Most reported cases of dual thrombosis were associated with cardiogenic shock.

Takeaway

A man had a heart attack because two of his heart's blood vessels got blocked at the same time, which is very rare and serious.

Methodology

The case of a 58-year-old male with a history of hypertension and diabetes was reported, including diagnostic evaluations and a literature review.

Limitations

The study is based on a single case report, limiting generalizability.

Participant Demographics

58-year-old male with a history of hypertension, type II diabetes, and heavy smoking.

Digital Object Identifier (DOI)

10.3390/jcm13247511

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