ACTA FAC MED NAISS 2014;31(3):201-206

Case report

UDC:616.127-005.8-073.7

DOI:10.2478/afmnai-2014-0025

Acute Myocardial Infarction with an Initially Non-Diagnostic Electrocardiogram -

Clinical Intuition is Crucial for Decision Making

Dejan Petrović¹, Marina Deljanin Ilić^1,2, Sanja Stojanović¹, Viktor Stoičkov^1,2

¹Institute «Niška Banja» Niška Banja, Serbia

²University of Niš, Faculty of Medicine, Serbia


SUMMARY

Acute myocardial infarction (AMI) is a common cause of reduced cardiac capacity and functional status of a patient. Successful primary percutaneous coronary intervention (pPCI) in acute coronary syndrome and appropriate, complex cardiovascular rehabilitation play a major role in preserving left ventricular function and improvement of prognosis and quality of patient’s life. The aim of this paper was to present a clinical course in a patient with acute myocardial infarction who did not have a classic ECG presentation in the form of ST-segment elevation. We showed that in everyday clinical work it is essential to timely recognize the symptoms of acute myocardial infarction, make the proper diagnosis and perform right treatment strategy. The next step is cardiovascular rehabilitation program, which positive effects, in our patient, was achieved through the retrieval of functional capacity and correction of risk factors.

Key words: acute myocardial infarction, percutaneous coronary intervention, cardiovascular rehabilitation