A case of hidden myocardial infarction by atrial fibrillation against the background of diabetes mellitus and arterial hyper- tension

Abstract

This article presents information about acute subendocardial myocardial infarction of the posterior wall of the left ventricle, which developed against the background of type 2 diabetes mellitus and arterial hyper- tension. The only clinical symptom of critical heart disease was a tachysystolic form of permanent atrial fi- brillation. Despite a complex of therapeutic manipulations, the patient died. The final diagnosis of acute

subendocardial myocardial infarction of the posterior wall of the left ventricle was established only after autopsy. The presented clinical case demonstrates an atypical course of myocardial infarction manifested by latent

atrial fibrillation. This case focuses on the need for a comprehensive examination of patients with atrial fi- brillation and the exclusion, first of all, of irreversible myocardial damage.