Acute Spontaneous Coronary Artery Thrombosis as Initial Presentation of HIV Infection in a Young Man
Joint Authors
Nyakoojo, Wilson B.
Kayima, James
Nakanjako, Damalie
Costa, Marco A.
Longenecker, Christopher T.
Simon, Daniel I.
Source
Issue
Vol. 2015, Issue 2015 (31 Dec. 2015), pp.1-4, 4 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2015-03-02
Country of Publication
Egypt
No. of Pages
4
Main Subjects
Abstract EN
Introduction.
The presentation of acute coronary syndrome (ACS) in young HIV patients may be atypical with different pathophysiological and clinical features.
Acute coronary thrombosis, as a presentation of acute coronary syndrome in young patients with HIV, raises diagnostic and treatment challenges.
Case Presentation.
We describe a case of a 33-year-old African man, without traditional atherosclerotic risk factors, who presented with chest pain of acute onset.
Emergent coronary angiography revealed extensive thrombus in the left anterior descending coronary artery with no evidence of atherosclerosis in this or other coronary vessels.
Plaque and/or thrombus prolapse through the stent was noted following percutaneous coronary intervention (PCI).
Resolution of chest pain and improvement in ST-segment elevation was noted after the procedure.
A diagnosis of HIV infection was made during the workup for HIV infection.
Conclusion.
In young patients without traditional risk factors, HIV infection is a possible etiological factor for spontaneous coronary artery thrombosis.
Percutaneous coronary intervention in patients with this presentation may be compounded with atherothrombotic complications.
The likely pathophysiological pathway is superficial endothelial cell denudation as a result of chronic inflammation and immune activation.
American Psychological Association (APA)
Kayima, James& Nyakoojo, Wilson B.& Nakanjako, Damalie& Costa, Marco A.& Longenecker, Christopher T.& Simon, Daniel I.. 2015. Acute Spontaneous Coronary Artery Thrombosis as Initial Presentation of HIV Infection in a Young Man. Case Reports in Cardiology،Vol. 2015, no. 2015, pp.1-4.
https://search.emarefa.net/detail/BIM-1058102
Modern Language Association (MLA)
Kayima, James…[et al.]. Acute Spontaneous Coronary Artery Thrombosis as Initial Presentation of HIV Infection in a Young Man. Case Reports in Cardiology No. 2015 (2015), pp.1-4.
https://search.emarefa.net/detail/BIM-1058102
American Medical Association (AMA)
Kayima, James& Nyakoojo, Wilson B.& Nakanjako, Damalie& Costa, Marco A.& Longenecker, Christopher T.& Simon, Daniel I.. Acute Spontaneous Coronary Artery Thrombosis as Initial Presentation of HIV Infection in a Young Man. Case Reports in Cardiology. 2015. Vol. 2015, no. 2015, pp.1-4.
https://search.emarefa.net/detail/BIM-1058102
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1058102