Liu WC, Li SB, Zhang CF, Cui XH. Severe pneumonia and acute myocardial infarction complicated with pericarditis after percutaneous coronary intervention: A case report . World J Clin Cases 2022; 10(10): 3222-3231 [PMID: 35647136 DOI: 10.12998/wjcc.v10.i10.3222]
Corresponding Author of This Article
Shun-Bao Li, MD, Chief Physician, The Third Ward of the Department of Cardiology, Baoding No. 1 Central Hospital, No. 320 of North Great Wall Street, Baoding 071000, Hebei Province, China. lishunbao.good@163.com
Research Domain of This Article
Cardiac & Cardiovascular Systems
Article-Type of This Article
Case Report
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Clin Cases. Apr 6, 2022; 10(10): 3222-3231 Published online Apr 6, 2022. doi: 10.12998/wjcc.v10.i10.3222
Severe pneumonia and acute myocardial infarction complicated with pericarditis after percutaneous coronary intervention: A case report
Wei-Chao Liu, Shun-Bao Li, Chen-Feng Zhang, Xiang-Hui Cui
Wei-Chao Liu, Shun-Bao Li, Chen-Feng Zhang, Xiang-Hui Cui, The Third Ward of the Department of Cardiology, Baoding No. 1 Central Hospital, Baoding 071000, Hebei Province, China
Author contributions: Liu WC and Cui XH were the patient’s physicians, reviewed the literature and contributed to manuscript drafting; Zhang CF reviewed the literature and contributed to manuscript drafting; Li SB was responsible for revision of the manuscript; all authors issued final approval for the version to be submitted.
Informed consent statement: Informed written consent was obtained from the patient for publication of this report and any accompanying images.
Conflict-of-interest statement: The authors declare that they have no conflict of interest.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Shun-Bao Li, MD, Chief Physician, The Third Ward of the Department of Cardiology, Baoding No. 1 Central Hospital, No. 320 of North Great Wall Street, Baoding 071000, Hebei Province, China. lishunbao.good@163.com
Received: October 3, 2021 Peer-review started: October 3, 2021 First decision: January 11, 2022 Revised: January 25, 2022 Accepted: February 23, 2022 Article in press: February 23, 2022 Published online: April 6, 2022
Abstract
BACKGROUND
Cases of severe pneumonia complicated with acute myocardial infarction (AMI) with good prognosis after percutaneous coronary intervention (PCI) are rare, especially those with postoperative pericarditis and intestinal obstruction.
CASE SUMMARY
A 53-year-old male patient was admitted to the emergency department of our hospital because of paroxysmal chest tightness for 4 d, aggravated with chest pain for 12 h. The symptoms, electrocardiography, biochemical parameters, echocardiography and chest computed tomography confirmed the diagnosis of severe pneumonia complicated with AMI. The patient was treated with antiplatelet aggregation, anticoagulation, lipid regulation, vasodilation, anti-infective agents and direct PCI. The patient was discharged after 3 wk of treatment. Follow-up showed that the patient was asymptomatic without recurrence.
CONCLUSION
For patients with severe pneumonia complicated with AMI, PCI and antibiotic therapy is a life-saving strategy.
Core Tip: Severe pneumonia complicated with acute myocardial infarction (AMI) is a critical and rare disease in clinic. Patients with good prognosis after emergency percutaneous coronary intervention (PCI) combined with antibiotic treatment have been rarely reported. We here report a case of severe pneumonia and AMI complicated with pericarditis and intestinal obstruction after direct PCI. The patient had a good prognosis after anti-infective and symptomatic treatment.
