• Am. J. Med. Sci. · Oct 2024

    Review

    Coronary embolism and acute limb ischemia without pre-existing atrial fibrillation: Hunt for the hidden thrombus.

    • Misha Aftab Khan, Noor Alsammarraie, Alycia Christina Bellino, Yash Bharatkumar Patel, and Karldon Iwuchukwu Nwaezeapu.
    • Internal Medicine, Trinity Health Ann Arbor Hospital, 5301 McAuley Drive, Ypsilanti, MI 48197, United States. Electronic address: Misha.Khan@trinity-health.org.
    • Am. J. Med. Sci. 2024 Oct 23.

    AbstractCoronary embolism (CE) is an infrequent etiology of myocardial infarction secondary to embolization of occlusive thrombi within the coronary arteries, typically arising in patients with pre-existing atrial fibrillation. Clinical presentation is similar to atherosclerotic myocardial infarction, however the condition is likely underrecognized. The simultaneous presence of other embolic manifestations may assist with diagnosis, although definitive therapy, medical or interventional, remains inconclusive. We aim to lower the threshold for clinical suspicion in the appropriate setting and promote assessment of predisposing embolic conditions once a tentative diagnosis of CE is established. In addition, we intend to highlight the need for focused refinement of the existing diagnostic criteria and further optimization of management guidelines for CE.Copyright © 2024. Published by Elsevier Inc.

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