Symptomatic Presentation of Acute Myocardial Infarction in Heart Transplantation Patients

Shashank Jain; Dexter D Jacob; Mahek K Shah; David L Fischman

doi:10.1016/j.jaccas.2020.11.031

Symptomatic Presentation of Acute Myocardial Infarction in Heart Transplantation Patients

JACC Case Rep. 2021 Feb 3;3(3):400-406. doi: 10.1016/j.jaccas.2020.11.031. eCollection 2021 Mar.

Authors

Shashank Jain¹, Dexter D Jacob¹, Mahek K Shah¹, David L Fischman¹

Affiliation

¹ Thomas Jefferson University Hospital, Philadelphia, Pennsylvania, USA.

Abstract

Patients with acute myocardial infarction with a history of an orthotopic heart transplantation rarely present with classic anginal symptoms, secondary to cardiac denervation. We present 2 cases, the first of a patient with a ST-segment elevation myocardial infarction and the second who presented with a non-ST-segment elevation myocardial infarction. Both patients presented with typical symptoms and were treated with percutaneous coronary intervention. (Level of Difficulty: Intermediate.).

Keywords: ACS, acute coronary syndrome; CAG, coronary angiography; CAV, cardiac allograft vasculopathy; HLD, hyperlipidemia; MI, myocardial infarction; NSTEMI, non-ST-segment elevation myocardial infarction; OHT, orthotopic heart transplantation; PCI, percutaneous coronary intervention; STEMI, ST-segment elevation myocardial infarction; cardiac allograft vasculopathy; orthotopic heart transplant.

Publication types

Case Reports