A rare coincidence of presentation of TIA like illness immediately followed by acute myocardial infarction and cardiac arrest: a case report

Meiling Wang; Sa Wang; Yuwei Wang

doi:10.1186/s12245-025-00982-5

September 30, 2025International Journal of Emergency MedicineOpen Access

A rare coincidence of presentation of TIA like illness immediately followed by acute myocardial infarction and cardiac arrest: a case report

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Key Points

To describe an atypical case where an acute myocardial infarction and subsequent cardiac arrest initially presented with symptoms mimicking a transient ischemic attack.
Evaluated a 64-year-old man presenting with acute left-sided limb weakness using brain computed tomography (CT) perfusion imaging.
Performed emergency cardiopulmonary resuscitation and subsequent coronary angiography following sudden cardiac arrest.
Brain CT perfusion imaging demonstrated no acute cerebral abnormalities during the initial neurological assessment.
Coronary angiography following resuscitation revealed complete occlusion of the mid-anterior descending and circumflex arteries, alongside diffuse lesions in the right coronary artery.

Structured PICO

P

Population

1 patient, 64-year-old male with a history of smoking, coronary heart disease, hypertension, and a 30-year history of kidney transplantation presenting with acute left-sided limb weakness.

I

Intervention

Cardiopulmonary resuscitation, ticagrelor, aspirin, percutaneous coronary intervention with drug-coated balloon angioplasty on mid-LAD, and intra-aortic balloon pump support.

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Implication

Atypical manifestations of acute myocardial infarction, such as TIA-like symptoms, complicate emergency diagnosis and necessitate high clinical vigilance.

Abstract

A 64-year-old man presented with acute left-sided limb weakness and no abnormalities on brain CT perfusion imaging. The patient soon experienced cardiac arrest, and coronary angiography after successful cardiopulmonary resuscitation demonstrated complete occlusion of the anterior descending branch and circumflex branch mid-sections, as well as diffuse lesions in the right coronary mid-section. Atypical AMI manifestations complicate emergency diagnosis, necessitating high clinical vigilance and broad differential assessment during initial evaluation.

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Cite This Study

Wang et al. (2025) studied this question.

synapsesocial.com/papers/6a7fd9ce0e3bab065e762130 https://doi.org/10.1186/s12245-025-00982-5

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A rare coincidence of presentation of TIA like illness immediately followed by acute myocardial infarction and cardiac arrest: a case report

Figures

Key Points

Structured PICO

Ask about this paper

Implication

Abstract

Discussion

Cite This Study

A rare coincidence of presentation of TIA like illness immediately followed by acute myocardial infarction and cardiac arrest: a case report

Figures

Key Points

Structured PICO

Ask about this paper

Implication

Abstract

Discussion

Cite This Study

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