ST-Elevation Myocardial Infarction Precipitated by Disseminated Intravascular Coagulation: A Therapeutic Challenge

Wahab J Khan; Dawlat Khan; Anum Nadeem; Abdul Wadood; Ifrah Nadeem; Muhammad Asif

doi:10.7759/cureus.37119

ST-Elevation Myocardial Infarction Precipitated by Disseminated Intravascular Coagulation: A Therapeutic Challenge

Cureus. 2023 Apr 4;15(4):e37119. doi: 10.7759/cureus.37119. eCollection 2023 Apr.

Authors

Wahab J Khan¹, Dawlat Khan¹, Anum Nadeem², Abdul Wadood³, Ifrah Nadeem¹, Muhammad Asif¹

Affiliations

¹ Internal Medicine, University of South Dakota Sanford School of Medicine, Sioux Falls, USA.
² Physiology, Rashid Latif Medical College, Lahore, PAK.
³ Internal Medicine, National Hospital and Medical Center, Lahore, PAK.

Abstract

Acute coronary syndrome (ACS) can manifest as ST-elevation myocardial infarction (STEMI), non-ST-elevation myocardial infarction (NSTEMI), and unstable angina (UA). Common etiologies for STEMI include atherosclerotic plaque disruption or erosion manifesting as type 1 myocardial ischemia (MI). Causes of type 2 MI presenting as STEMI may include spontaneous coronary artery dissection, coronary artery spasm, and coronary embolism. STEMI is an emergency mandating immediate coronary intervention. We present a case of STEMI as a complication of disseminated intravascular coagulation (DIC). This case highlights the unique challenge of managing STEMI with active DIC.

Keywords: coronary artery thrombosis; disseminated intravascular coagulation (dic); post-splenectomy; st-elevation myocardial infarction (stemi); ste-acs.

Publication types

Case Reports