Introduction:
A Patient with Human Immunodeficiency Virus (HIV) has an increased risk
of developing coronary artery diseases (CAD) either through traditional
CAD risk factors, antiretroviral drug effects or HIV-related parameters
including inflammatory and immunologic changes (1). Also an increased
risk of stroke either including HIV-related intra- and extra-cranial
vasculopathy, HIV induced cardiomyopathy, HIV-induced coagulopathy and
opportunistic infection-associated vasculitis; However, this is mostly
significant among those younger than 50, but not among older patients
(2,3). The most significant early manifestation of HIV infection among
Africans was marked by slim disease (diarrhea and wasting),
tuberculosis, variety of Opportunistic Infections (OI), weight loss,
fever, and dermatological symptoms(4). Here, we report a young Sudanese
male patient whom was diagnosed with Extensive ST segment Elevation
Myocardial Infarction (STEMI) complicated later with Ischemic Stroke who
was found to have a high HIV viral load with exclusion of other possible
causes of his underlying condition.