{"title":"A rare coincidence of presentation of TIA like illness immediately followed by acute myocardial infarction and cardiac arrest: a case report.","authors":"Meiling Wang, Danping Yan, Sa Wang, Yuwei Wang","doi":"10.1186/s12245-025-00982-5","DOIUrl":null,"url":null,"abstract":"<p><p>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.</p>","PeriodicalId":13967,"journal":{"name":"International Journal of Emergency Medicine","volume":"18 1","pages":"175"},"PeriodicalIF":2.0000,"publicationDate":"2025-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12487168/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"International Journal of Emergency Medicine","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1186/s12245-025-00982-5","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"EMERGENCY MEDICINE","Score":null,"Total":0}
引用次数: 0
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.
期刊介绍:
The aim of the journal is to bring to light the various clinical advancements and research developments attained over the world and thus help the specialty forge ahead. It is directed towards physicians and medical personnel undergoing training or working within the field of Emergency Medicine. Medical students who are interested in pursuing a career in Emergency Medicine will also benefit from the journal. This is particularly useful for trainees in countries where the specialty is still in its infancy. Disciplines covered will include interesting clinical cases, the latest evidence-based practice and research developments in Emergency medicine including emergency pediatrics.