Abstract
Acute Myocardial Infarction (AMI) due to coronary artery embolism causing infective endocarditis is a rare event. A 23-year-old woman with typical chest pain was brought into a general hospital without capability of primary PCI; the initial diagnosis was acute inferior myocardial infarction (MI). Thrombolytic therapy was performed based on ST-segment elevation in II, III, AVF leads, and elevated level of Troponin I. Upon recommencing of chest discomfort and ST-elevation resolution less than 50%, she was transferred to a more equipped hospital for further evaluation. Transthoracic and Transesophageal Echocardiography (TTE and TEE) showed mitral valve vegetation. This case suggests an important rare role of valve insufficiency and infective endocarditis in Acute Myocardial Infarction particularly in young adult patients.
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