Key result
Non-bacterial thrombotic endocarditis rarely presents initially as embolic MI with VF arrest.
Why the study?
Embolic myocardial infarction as an initial manifestation of non-bacterial thrombotic endocarditis is extremely rare and lacks standardized management guidelines.
Case Report (n=1)
Highlights a rare presentation of non-bacterial thrombotic endocarditis as embolic myocardial infarction causing ventricular fibrillation arrest, requiring individualized multidisciplinary management.
May prompt NBTE consideration in unexplained embolic MI arrest; hypothesis-generating case report leaves broader implications open.
Non-bacterial thrombotic endocarditis, characterised by sterile vegetations, is commonly caused by systemic lupus erythematosus and is known to be complicated with embolic cerebrovascular disease. Embolic myocardial infarction with non-bacterial thrombotic endocarditis is extremely rare. We report a case of ventricular fibrillation arrest from presumed coronary embolisation in non-bacterial thrombotic endocarditis. While there are no standardised guidelines on the management of embolic myocardial infarction in endocarditis, it requires a multidisciplinary approach unique for every encountered clinical scenario.
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Hansen et al. (2023) conducted a case report in Non-bacterial thrombotic endocarditis with embolic myocardial infarction (n=1). Non-bacterial thrombotic endocarditis was evaluated. Embolic myocardial infarction with ventricular fibrillation arrest can occur as an extremely rare initial manifestation of non-bacterial thrombotic endocarditis.
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