Microvascular Coronary Artery Embolism Presenting as an OHCA STEMI Call Detected by CMR

  • Napohn Chongprasertpon Department of Cardiology, Letterkenny University Hospital, Letterkenny, Co. Donegal, Ireland
  • Santhosh David Department of Cardiology, Letterkenny University Hospital, Letterkenny, Co. Donegal, Ireland

Keywords

Cardiac magnetic resonance imaging, coronary artery embolism, ST-segment elevation, myocardial infarction

Abstract

We describe a case of coronary artery embolism leading to an out-of-hospital cardiac arrest (OHCA) in which the diagnosis was achieved with utilisation of cardiac magnetic resonance imaging. The patient was otherwise well prior to this episode. Emergency diagnostic coronary angiography revealed patent arteries with TIMI 3 flow. Subsequent cardiac magnetic resonance imaging demonstrated myocardial infarction and focal microvascular obstruction in the infarcted territory. This report describes an uncommon case presentation, highlights areas for improvement in diagnostic criteria, and briefly discusses the currently available data regarding coronary artery embolism.

Author Biographies

Napohn Chongprasertpon ,
Department of Cardiology, Letterkenny University Hospital, Letterkenny, Co. Donegal, Ireland

 

 

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  • Published: 2020-06-29

    Issue: Vol 7 No 9 (view)

    Section: Articles

    How to cite:
    1.
    Chongprasertpon N, David S. Microvascular Coronary Artery Embolism Presenting as an OHCA STEMI Call Detected by CMR. EJCRIM [Internet]. 2020Jun.29 [cited 2020Sep.24];7(9). Available from: https://ejcrim.com/index.php/EJCRIM/article/view/1772

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