Silent Myocardial Infarction Presented with Homonymous Hemianopia: A Rare Case Study

Document Type : Case Report

Authors

1 Cardiologist, Department of Cardiology, Qom University of Medical Sciences, Qom, Iran

2 Student Research Committee, Qom University of Medical Sciences, Qom, Iran

Abstract

Silent myocardial infarction is a little-known phenomenon, the mechanisms of which have still remained unclear. Herein, we presented the case of a middle-aged man suffering from silent myocardial infarction who presented with homonymous hemianopia and no other major cardiovascular risk factors, except for stage 1 hypertension.

Keywords


1.Arenja N, Mueller C, Ehl NF, Brinkert M, Roost K, Reichlin T, et al. Prevalence, extent, and independent predictors of silent myocardial infarction. Am J Med. 2013; 126:515-22.
2. Toma M, Fu Y, Ezekowitz JA, McAlister FA, Westerhout CM, Granger CB, et al. Does silent myocardial infarction add prognostic value in ST-elevation myocardial infarction patients without a history of prior myocardial infarction? Insights from the Assessment of Pexelizumab in Acute Myocardial Infarction (APEX-AMI) Trial. Am Heart J. 2010; 160:671-7.
3. Valensi P, Lorgis L, Cottin Y. Prevalence, incidence, predictive factors and prognosis of silent myocardial infarction: a review of the literature. Arch Cardiovasc Dis. 2011; 104:178-88.
4. Goodwin D. Homonymous hemianopia: challenges and solution. Clin Ophthalmol. 2014; 8:1919-27.
5. Pessin MS, Lathi ES, Cohen MB, Kwan ES, Hedges TR 3rd, Caplan LR. Clinical features and mechanism of occipital infarction. Ann Neurol. 1987; 21:290-9.
6. Ikram MA, van Oijen M, de Jong FJ, Kors JA, Koudstaal PJ, Hofman A, et al. Unrecognized myocardial infarction in relation to risk of dementia and cerebral small vessel disease. Stroke. 2008; 39:1421-6.
7. Wackers FJ, Young LH, Inzucchi SE, Chyun DA, Davey JA, Barrett EJ, et al. Detection of silent myocardial ischemia in asymptomatic diabetic subjects: the DIAD study. Diabetes care. 2004; 27:1954-61.
8.Neven KG, Henriques JP, Ottervanger JP, Hoorntje JC. Acute blindness as the presenting symptom of ST segment elevation myocardial infarction. Int J Cardiol. 2004; 96:303-5.
9. Jongen JC, Franke CL, Soeterboek AA, Versteege CW, Ramos LM, van Gijn J. Blood supply of the posterior cerebral artery by the carotid system on angiograms. J Neurol. 2002; 249:455-60.
10. Fazzini PF, Prati PL, Rovelli F, Antoniucci D, Menghini F, Seccareccia F, et al. Epidemiology of silent myocardial ischemia in asymptomatic middle-aged men (the ECCIS Project). Am J Cardiol. 1993; 72:1383-8.