A 59-year-old woman with no significant past medical history had a one day history of malaise, chest discomfort, and nausea and vomiting. She had a cardiac arrest and resuscitation attempted. She did not survive and an autopsy was performed
SCVP thanks Michael Seidman for sharing this case.
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Ruptured acute myocardial infarction secondary to atherosclerotic plaque rupture. Also, incidental non-cardiac sarcoidosis.
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Acute myocardial infarctions with septal wall rupture have become less frequent, but still a cause of sudden death. While maximal likelihood of rupture is thought to be ~5 days post myocardial infarction, ruptures can occur throughout the first week or so. The history of this case suggests rupture occured on day 2. Sarcoidosis can appear almost anywhere in the body. Cardiac sarcoidosis is the third most common location of sarcoidosis and carries the most significant morbidity and mortality risk.
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