Acute ST Segment Elevation Myocardial Infarction and Massive Pericardial Effusion Due to Infective E...

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" Acute ST Segment Elevation Myocardial Infarction and Massive Pericardial Effusion Due to Infective Endocarditis "
Thompson, Maxwell; Pigott, David C.; Gullett, John; Gibson, Blayke

Document Type	:	AL
Record Number	:	927815
Doc. No	:	LA6rw835n8
Language of Document	:	English
Main Entry	:	Thompson, Maxwell; Pigott, David C.; Gullett, John; Gibson, Blayke
Title & Author	:	Acute ST Segment Elevation Myocardial Infarction and Massive Pericardial Effusion Due to Infective Endocarditis [Article]\ Thompson, Maxwell; Pigott, David C.; Gullett, John; Gibson, Blayke
Title of Periodical	:	Clinical Practice and Cases in Emergency Medicine
Volume/ Issue Number	:	1/2
Date	:	2017
Abstract	:	Chest pain is a common complaint evaluated in the emergency department. While chest pain in a 22-year-old patient is typically a complaint of low acuity, high-acuity cases that rival those of the older patient population are well documented. We describe a case of complicated infective endocarditis in which point-of-care ultrasound (POCUS) aided the diagnosis of ST-elevation myocardial infarction secondary to a septic thrombus in a 22-year-old female with a history of intravenous drug use. Emergency physicians should be aware of the rare high-acuity cases as well as the impact of POCUS on rapid clinical assessment and treatment of patients of all ages presenting with chest pain.