Cor Vasa 2025, 67(2):302-304 | DOI: 10.33678/cor.2024.085

Myocardial infarction in a young patient with antiphospholipid syndrome: A case report

Marta Catarina Bernardo, Catarina Ribeiro Carvalho, Catarina Ferreira, Inês Silveira, Ana Batista, Sofia Silva Carvalho, Ilídio Moreira
Cardiology Department, Unidade Local de Saúde de Trás-os-Montes e Alto Douro, Portugal

This case report highlights the importance of a multimodal approach, tailored therapeutic interven- tions, and the poor prognosis of myocardial infarction with non-obstructive coronary arteries (MINOCA) in a young patient with antiphospholipid syndrome (APS). A 39-year-old man was admitted with a diagnosis of a ST elevation myocardial infarction (STEMI), in Killip class III. Angiography showed absence of obstructive epicardial coronary artery disease prompting further evaluation with cardiac magnetic resonance imaging (MRI). It revealed infarction scars in multiple arterial territories and severe left ventricular dysfunction. The patient evolved with heart failure with reduced ejection fraction and a subcutaneous implantable cardioverter-defibrillator was implanted.

Keywords: Antiphospholipid syndrome, Myocardial infarction, Subcutaneous implantable cardioverter-defibrillator

Received: July 23, 2024; Revised: October 3, 2024; Accepted: October 14, 2024; Prepublished online: March 25, 2025; Published: May 1, 2025  Show citation

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Catarina Bernardo M, Carvalho CR, Ferreira C, Silveira I, Batista A, Carvalho SS, Moreira I. Myocardial infarction in a young patient with antiphospholipid syndrome: A case report. Cor Vasa. 2025;67(2):302-304. doi: 10.33678/cor.2024.085.
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