To describe a case of non-ST-elevation myocardial infarction (NSTEMI) following fluorescein angiography (FA) and review related literature on this rare complication.
Key Findings:
The patient developed acute chest pain and hypertension 10 minutes post-FA, indicating a serious complication.
Cardiac catheterization revealed occlusion of the right coronary artery, confirming NSTEMI.
Possible mechanisms for NSTEMI include allergic-mediated coronary vasospasm or anxiety-related catecholamine release, particularly in patients with pre-existing conditions.
Interpretation:
This case highlights a rare but serious complication of FA, emphasizing the need for clinical vigilance, thorough patient counseling, and preparedness for emergencies during the procedure.
Limitations:
The case is based on a single patient, limiting generalizability to broader populations.
Potential confounding factors related to the patient's pre-existing conditions and their management may influence outcomes.
Conclusion:
Acute myocardial infarction following fluorescein angiography is an extremely rare event that necessitates thorough patient counseling, clinical vigilance, and institutional readiness for emergencies.
