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Extensive myocardial infarction complicated with stroke as the first presentation of HIV in A young sudanese male: A case report
INTRODUCTION: As it is a disseminated disease, HIV infection can be associated with significant cardiovascular and neurological complications; however, this commonly occurs late. Here, we highlight the unusual initial presentation of HIV infection, which is myocardial infarction complicated by strok...
Autores principales: | , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Elsevier
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9577595/ https://www.ncbi.nlm.nih.gov/pubmed/36268312 http://dx.doi.org/10.1016/j.amsu.2022.104653 |
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author | Fadelallah Eljack, Mohammed Mahmmoud Nassir Mohammedali, Najla Fouad Hussien Mohamed Ahmed, Kabab Abbasher Ahmed, Omer Idris Nour, Alshareef B. Haroun, Mazin S. Abdallah, Abdallah M. Ibrahim Ali, Mustafa Mohamed |
author_facet | Fadelallah Eljack, Mohammed Mahmmoud Nassir Mohammedali, Najla Fouad Hussien Mohamed Ahmed, Kabab Abbasher Ahmed, Omer Idris Nour, Alshareef B. Haroun, Mazin S. Abdallah, Abdallah M. Ibrahim Ali, Mustafa Mohamed |
author_sort | Fadelallah Eljack, Mohammed Mahmmoud |
collection | PubMed |
description | INTRODUCTION: As it is a disseminated disease, HIV infection can be associated with significant cardiovascular and neurological complications; however, this commonly occurs late. Here, we highlight the unusual initial presentation of HIV infection, which is myocardial infarction complicated by stroke. CASE PRESENTATION: A 30 years old male with a clear medical background presented with severe chest pain with evidence of ischemia on ECG and positive serum troponin. he received anti-ischemic drugs, and was prepared for coronary angiography with routine investigations tested positive for HIV; however, his condition was later complicated by stroke. DISCUSSION: Antiretroviral medication, HIV disease characteristics, female gender, and HCV co-infection are risk factors for coronary artery disease (CAD) in HIV patients. Patients living with HIV are also at risk of developing stroke, which can be caused by atherosclerosis of the major arteries, small artery disease, cardiac embolism, CNS infections, coagulation issues, and non-atherosclerotic vasculopathy. CONCLUSION: The presentation of an acute coronary syndrome in a young patient should raise suspicion of uncommon causes and needs a prompt evaluation from digging up in history, detailed examination, and investigations with close follow-up to prevent the complications that may occur. on the other hand, known HIV Patients should be screened periodically with an electrocardiogram. |
format | Online Article Text |
id | pubmed-9577595 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Elsevier |
record_format | MEDLINE/PubMed |
spelling | pubmed-95775952022-10-19 Extensive myocardial infarction complicated with stroke as the first presentation of HIV in A young sudanese male: A case report Fadelallah Eljack, Mohammed Mahmmoud Nassir Mohammedali, Najla Fouad Hussien Mohamed Ahmed, Kabab Abbasher Ahmed, Omer Idris Nour, Alshareef B. Haroun, Mazin S. Abdallah, Abdallah M. Ibrahim Ali, Mustafa Mohamed Ann Med Surg (Lond) Case Report INTRODUCTION: As it is a disseminated disease, HIV infection can be associated with significant cardiovascular and neurological complications; however, this commonly occurs late. Here, we highlight the unusual initial presentation of HIV infection, which is myocardial infarction complicated by stroke. CASE PRESENTATION: A 30 years old male with a clear medical background presented with severe chest pain with evidence of ischemia on ECG and positive serum troponin. he received anti-ischemic drugs, and was prepared for coronary angiography with routine investigations tested positive for HIV; however, his condition was later complicated by stroke. DISCUSSION: Antiretroviral medication, HIV disease characteristics, female gender, and HCV co-infection are risk factors for coronary artery disease (CAD) in HIV patients. Patients living with HIV are also at risk of developing stroke, which can be caused by atherosclerosis of the major arteries, small artery disease, cardiac embolism, CNS infections, coagulation issues, and non-atherosclerotic vasculopathy. CONCLUSION: The presentation of an acute coronary syndrome in a young patient should raise suspicion of uncommon causes and needs a prompt evaluation from digging up in history, detailed examination, and investigations with close follow-up to prevent the complications that may occur. on the other hand, known HIV Patients should be screened periodically with an electrocardiogram. Elsevier 2022-09-15 /pmc/articles/PMC9577595/ /pubmed/36268312 http://dx.doi.org/10.1016/j.amsu.2022.104653 Text en © 2022 The Authors https://creativecommons.org/licenses/by/4.0/This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Case Report Fadelallah Eljack, Mohammed Mahmmoud Nassir Mohammedali, Najla Fouad Hussien Mohamed Ahmed, Kabab Abbasher Ahmed, Omer Idris Nour, Alshareef B. Haroun, Mazin S. Abdallah, Abdallah M. Ibrahim Ali, Mustafa Mohamed Extensive myocardial infarction complicated with stroke as the first presentation of HIV in A young sudanese male: A case report |
title | Extensive myocardial infarction complicated with stroke as the first presentation of HIV in A young sudanese male: A case report |
title_full | Extensive myocardial infarction complicated with stroke as the first presentation of HIV in A young sudanese male: A case report |
title_fullStr | Extensive myocardial infarction complicated with stroke as the first presentation of HIV in A young sudanese male: A case report |
title_full_unstemmed | Extensive myocardial infarction complicated with stroke as the first presentation of HIV in A young sudanese male: A case report |
title_short | Extensive myocardial infarction complicated with stroke as the first presentation of HIV in A young sudanese male: A case report |
title_sort | extensive myocardial infarction complicated with stroke as the first presentation of hiv in a young sudanese male: a case report |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9577595/ https://www.ncbi.nlm.nih.gov/pubmed/36268312 http://dx.doi.org/10.1016/j.amsu.2022.104653 |
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