{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,5]],"date-time":"2026-06-05T07:19:08Z","timestamp":1780643948924,"version":"3.54.1"},"reference-count":8,"publisher":"Oxford University Press (OUP)","issue":"2","license":[{"start":{"date-parts":[[2025,1,29]],"date-time":"2025-01-29T00:00:00Z","timestamp":1738108800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2025,2,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Background<\/jats:title>\n                  <jats:p>Acute ST-elevation myocardial infarction (STEMI) complicated by infective endocarditis (IE) presents a unique challenge in clinical management, especially when associated with septic embolism leading to coronary artery occlusion.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Case summary<\/jats:title>\n                  <jats:p>The current clinical report describes the case of a 72-year-old male with a history of arterial hypertension, dyslipidaemia, and severe obstructive sleep apnea. The patient presented with anterior STEMI due to an embolic occlusion in the left anterior descending (LAD) artery, secondary to IE. Coronary angiography revealed embolic occlusion at the LAD origin, and balloon angioplasty without stent placement was performed, considering the embolic and infectious nature of the occlusion. Despite targeted interventions, including broad-spectrum antibiotics and support for cardiogenic shock, the patient's condition deteriorated, leading to cardiac arrest and subsequent death on the fourth day of hospitalization.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusion<\/jats:title>\n                  <jats:p>This case emphasizes the critical need for adapting STEMI management in the presence of IE. It highlights the importance of considering IE in STEMI differential diagnosis and adjusting intervention strategies accordingly.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/ehjcr\/ytaf037","type":"journal-article","created":{"date-parts":[[2025,1,29]],"date-time":"2025-01-29T13:58:24Z","timestamp":1738159104000},"source":"Crossref","is-referenced-by-count":3,"title":["Coronary septic embolism presenting as acute myocardial infarction. A case report of a singular manifestation of infective endocarditis"],"prefix":"10.1093","volume":"9","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3132-1272","authenticated-orcid":false,"given":"Mariana","family":"Ferreira Carvalho","sequence":"first","affiliation":[{"name":"Cardiology Division, Unidade Local de Sa\u00fade da Regi\u00e3o de Leiria , Rua das Olhalvas, Pousos, 2410-197 Leiria ,","place":["Portugal"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carolina","family":"Gon\u00e7alves","sequence":"additional","affiliation":[{"name":"Cardiology Division, Unidade Local de Sa\u00fade da Regi\u00e3o de Leiria , Rua das Olhalvas, Pousos, 2410-197 Leiria ,","place":["Portugal"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Beatriz","family":"Saldanha Santos","sequence":"additional","affiliation":[{"name":"Cardiology Division, Unidade Local de Sa\u00fade de Coimbra , Praceta Professor Mota Pinto, Celas, 3004-561 Coimbra ,","place":["Portugal"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joa\u0303o","family":"Morais","sequence":"additional","affiliation":[{"name":"Cardiology Division, Unidade Local de Sa\u00fade da Regi\u00e3o de Leiria , Rua das Olhalvas, Pousos, 2410-197 Leiria ,","place":["Portugal"]},{"name":"Center for Innovative Care and Health Technology, Leiria Polytechnique , Praceta Professor Mota Pinto, Celas, 3004-561 Coimbra ,","place":["Portugal"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2025,1,29]]},"reference":[{"key":"2025021707565645000_ytaf037-B1","doi-asserted-by":"crossref","first-page":"1840","DOI":"10.1001\/jama.2021.18323","article-title":"Cardiogenic shock after acute myocardial infarction: a review","volume":"326","author":"Samsky","year":"2021","journal-title":"JAMA"},{"key":"2025021707565645000_ytaf037-B2","doi-asserted-by":"crossref","first-page":"18","DOI":"10.1093\/eurheartj\/ehad720","article-title":"Platelet biology and function: plaque erosion vs. rupture","volume":"45","author":"Baaten","year":"2024","journal-title":"Eur Heart J"},{"key":"2025021707565645000_ytaf037-B3","doi-asserted-by":"crossref","first-page":"334","DOI":"10.1016\/j.ijcard.2005.07.016","article-title":"Time-related distribution, risk factors, and prognostic influence of embolism in patients with left-sided infective endocarditis","volume":"110","author":"Fabri","year":"2006","journal-title":"Int J Cardiol"},{"key":"2025021707565645000_ytaf037-B4","doi-asserted-by":"crossref","first-page":"2898","DOI":"10.21037\/jtd.2017.07.92","article-title":"Clinical analysis of acute myocardial infarction caused by coronary embolism","volume":"9","author":"Jiao","year":"2017","journal-title":"J Thorac Dis"},{"key":"2025021707565645000_ytaf037-B5","doi-asserted-by":"crossref","first-page":"1906","DOI":"10.1136\/heartjnl-2017-311624","article-title":"Coronary events complicating infective endocarditis","volume":"103","author":"Roux","year":"2017","journal-title":"Heart"},{"key":"2025021707565645000_ytaf037-B6","doi-asserted-by":"crossref","first-page":"307","DOI":"10.1002\/clc.23554","article-title":"Infective endocarditis complicated by embolic events: pathogenesis and predictors","volume":"44","author":"Hu","year":"2021","journal-title":"Clin Cardiol"},{"key":"2025021707565645000_ytaf037-B7","doi-asserted-by":"crossref","first-page":"3720","DOI":"10.1093\/eurheartj\/ehad191","article-title":"2023 ESC guidelines for the management of acute coronary syndromes: developed by the task force on the management of acute coronary syndromes of the European Society of Cardiology (ESC)","volume":"44","author":"Byrne","year":"2023","journal-title":"Eur Heart J"},{"key":"2025021707565645000_ytaf037-B8","doi-asserted-by":"crossref","first-page":"1239","DOI":"10.1016\/j.amjcard.2019.01.033","article-title":"ST-elevation Myocardial infarction associated with infective endocarditis","volume":"123","author":"Nazir","year":"2019","journal-title":"Am J Cardiol"}],"container-title":["European Heart Journal - 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