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BMJ Case Reports 2009; doi:10.1136/bcr.06.2008.0103
  • Unusual association of diseases/symptoms

Progressive acute kidney injury following myocardial infarction: cholesterol embolisation

  1. Malvinder S Parmar1,2
  1. 1
    Timmins & District Hospital, Medicine, Suite E, 640 Ross Ave. East, Timmins, Ontario, P4N 8P2, Canada
  2. 2
    Northern Ontario Medical School, Clinical Sciences Division, Canada
  1. atbeat{at}ntl.sympatico.ca
  • Published 23 February 2009

Summary

Acute kidney injury following acute coronary event can occur from multiple factors, including secondary to volume depletion, poor perfusion because of cardiac dysfunction, secondary to medications such as angiotensin converting enzyme inhibitors or angiotensin receptor blockers or because of aggressive diuretics or use of contrast agents. Atheroembolism (cholesterol embolisation) often occurs following an intervention, such as angiography or revascularisation procedure. An uncommon presentation of atheroembolic renal disease that likely was precipitated by the use of thrombolytics and/or anticoagulation is discussed.

Footnotes

  • Competing interests: None.

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