Acute myocardial infarction (AMI), better known in the community as a “heart attack, ” is one of the emergencies in the field of heart and blood vessel disease. IMA can occur when there is a blockage in the coronary arteries due to the rupture of plaque (fat deposits) in the blood vessels, thereby blocking blood flow to the myocardium (muscle) of the heart. AMI can affect all parts of the heart such as anterior, inferior, posterior, lateral and septal. However, AMI that occurs only in the posterior part is a rare case.
Complaints due to AMI include chest pain, shortness of breath, cold sweats to unconsciousness. These complaints are usually specific enough for a doctor to recognize an AMI. However, in some cases, such as advanced age, female gender, or the presence of other diseases such as diabetes mellitus, dementia and chronic kidney failure, these complaints can obscure the diagnosis so that the diagnosis of AMI becomes more difficult.
In this case report, we present a case of a 45-year-old woman, who came to the ER with non-specific complaints and had a history of co-morbidities such as Guillain Barre Syndrome (GBS), a disease of the peripheral nervous system, and history of COVID-19 infection. What are the signs and symptoms in the patient, the results of the physical and supporting examinations include ECG, echocardiography, laboratory results and cardiac catheterization are presented in this case report.
Author: Dr. Yudi Her Oktaviano, dr.,Sp.JP(K)FIHA.FICA.FAsCC.FSCAI.
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