Abstract

DIAZ, Juan Carlos et al. Acute myocardial infarction due to coronary embolism in atrial fibrillation: case presentation and systematic review. Rev. Mex. Cardiol [online]. 2016, vol.27, n.4, pp.171-180. ISSN 0188-2198.

Atrial fibrillation is the most common sustained arrhythmia in the general population, responsible for significant morbidity and mortality due to an increased risk of systemic embolism. The anatomic and hemodynamic characteristics of the cardiovascular system direct most emboli towards the central nervous system or the peripheral circulation, being coronary embolism an uncommon event. This has led to a paucity in the available medical literature regarding the importance of atrial fibrillation as a cause of acute myocardial infarction and the treatment these patients should be offered, with most of the evidence arising from case reports and small case series. A case of acute myocardial infarction associated with coronary embolism in a patient with new onset atrial fibrillation who was successfully treated with thrombus aspiration is presented, followed by a systematic review of the topic. The objective of this review is to establish the clinical characteristics of patients with coronary embolism due to atrial fibrillation and determine the best treatment options based on the available evidence.

Keywords : Acute myocardial infarction; atrial fibrillation; coagulation; coronary embolism.

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