NAVIGATING NSTEMI IN CRITICAL AORTIC STENOSIS: A CASE OF CARDIOVASCULAR AND INFECTIOUS CHALLENGES

This case report describes an 84-year-old woman with critical aortic stenosis and NSTEMI, presenting with dyspnea and signs of heart failure. Diagnostic findings included ECG changes, elevated troponin and BNP, and significant coronary artery stenosis requiring PCI. Ma­nagement was complicated by multiple cardiac arrests, respiratory failure, ventilator-associated pneumonia cau­sed by multi-drug-resistant organisms, and acute renal failure. Following stabilization and TAVI, arrhythmias persisted, requiring antiarrhythmic treatment. This case highlights the complexity of managing acute coronary syndromes in patients with severe aortic stenosis, sho­wing the importance of early diagnosis, timely revascu­larization, multidisciplinary care and tailored infection management.