PMID- 29861276
OWN - NLM
STAT- MEDLINE
DCOM- 20190225
LR  - 20190225
IS  - 1527-3288 (Electronic)
IS  - 0147-9563 (Linking)
VI  - 47
IP  - 4
DP  - 2018 Jul-Aug
TI  - Asymptomatic ST elevation myocardial infarction.
PG  - 363-365
LID - S0147-9563(18)30030-X [pii]
LID - 10.1016/j.hrtlng.2018.04.012 [doi]
AB  - BACKGROUND: A 71-year-old non-smoking female with a history of diabetes, 
      hypertension, hyperlipidemia and end-stage renal disease presented to the 
      emergency department for right leg pain due to an ankle fracture. CASE: The 
      patient's initial electrocardiogram (ECG) revealed ST segment elevations in the 
      anterior leads. She denied any chest pain, shortness of breath, fatigue, 
      lightheadedness, palpitations, nausea or diaphoresis. Her initial laboratory 
      Troponin I resulted 35.9 ng/mL. Coronary catheterization demonstrated 99% 
      occlusion of the left anterior descending (LAD) coronary artery. The patient had 
      2 drug eluting stents placed in the LAD with 10% residual stenosis. CONCLUSION: 
      Although witnessing an ongoing asymptomatic ST elevation myocardial infarction 
      (STEMI) is rare, this case highlights the importance of early revascularization 
      when the ECG demonstrates a STEMI, even in the absence of symptoms for patients 
      at risk for silent myocardial infarctions.
CI  - Copyright (c) 2018 Elsevier Inc. All rights reserved.
FAU - Anderson, Kenton L
AU  - Anderson KL
AD  - Department of Emergency Medicine, Stanford University School of Medicine, 900 
      Welch Road, Palo Alto, CA 94304, USA. Electronic address: kentona@stanford.edu.
FAU - Shah, Neel A
AU  - Shah NA
AD  - Department of Emergency Medicine, Baylor College of Medicine, 1504 Taub Loop, 
      Houston, TX 77030, USA.
FAU - Gallegos, Moises
AU  - Gallegos M
AD  - Department of Emergency Medicine, Baylor College of Medicine, 1504 Taub Loop, 
      Houston, TX 77030, USA.
FAU - Chiang, I-Hui
AU  - Chiang IH
AD  - Department of Medicine, Division of Cardiology, Baylor College of Medicine, 1220 
      Main St., Houston, TX 77030, USA.
LA  - eng
PT  - Case Reports
PT  - Journal Article
DEP - 20180531
PL  - United States
TA  - Heart Lung
JT  - Heart & lung : the journal of critical care
JID - 0330057
SB  - IM
MH  - Aged
MH  - Asymptomatic Diseases
MH  - Cardiac Catheterization/*methods
MH  - Coronary Vessels/*pathology/surgery
MH  - Electrocardiography/methods
MH  - Female
MH  - Humans
MH  - ST Elevation Myocardial Infarction/*diagnosis/surgery
MH  - Stents
OTO - NOTNLM
OT  - Asymptomatic
OT  - ST elevation myocardial infarction
OT  - Silent
EDAT- 2018/06/05 06:00
MHDA- 2019/02/26 06:00
CRDT- 2018/06/05 06:00
PHST- 2018/01/27 00:00 [received]
PHST- 2018/04/28 00:00 [accepted]
PHST- 2018/06/05 06:00 [pubmed]
PHST- 2019/02/26 06:00 [medline]
PHST- 2018/06/05 06:00 [entrez]
AID - S0147-9563(18)30030-X [pii]
AID - 10.1016/j.hrtlng.2018.04.012 [doi]
PST - ppublish
SO  - Heart Lung. 2018 Jul-Aug;47(4):363-365. doi: 10.1016/j.hrtlng.2018.04.012. Epub 
      2018 May 31.