Tehran University of Medical Sciences The Research in Heart Yield and Translational Medicine (RHYTHM) 3115-7270 15 3 2020 07 15 136 141 Truong Hoang Department of Internal Diseases, Medical Institute, RUDN University, Moscow, Russia. Pavel Lazarev Department of Internal Diseases, Medical Institute, RUDN University, Moscow, Russia. Victor Maiskov Department of Internal Diseases, Medical Institute, RUDN University, Moscow, Russia. AND Vinogradov City Clinical Hospital, Moscow, Russia. Meray Imad Department of Internal Diseases, Medical Institute, RUDN University, Moscow, Russia. AND Vinogradov City Clinical Hospital, Moscow, Russia. Zhanna Kobalava Department of Internal Diseases, Medical Institute, RUDN University, Moscow, Russia. 2019 12 16 2020 05 12 While atherosclerotic plaque disruption remains the hallmark of type 1 myocardial infarction (T1MI), multiple other mechanisms provoking myocardial supply/demand mismatch (eg, anemia and tachyarrhythmias) are recognized as the potential causes of type 2 myocardial infarction (T2MI). In clinical practice, angiography is underutilized in patients with MI that have typical T2MI triggers, although the presence of these triggers and various forms of atherosclerotic coronary artery disease is not mutually exclusive. We describe a 70-year-old man that developed MI during hospitalization for gastrointestinal bleeding. He was treated conservatively without angiography due to posthemorrhagic anemia, which is a recognized T2MI trigger, and subsequently developed refractory cardiogenic shock. Autopsy revealed atherothrombosis, which is characteristic of T1MI. https://rhythm.tums.ac.ir/index.php/jthc/article/view/1196 https://rhythm.tums.ac.ir/index.php/jthc/article/download/1196/918