Recurrent Acute Coronary Syndromes in a Patient with Idiopathic Thrombocytopenic Purpura
Joint Authors
Iakovis, Nikolaos
Xanthopoulos, Andrew
Chamaidi, Aikaterini
Dimos, Apostolos
Triposkiadis, Filippos
Skoularigis, John
Papamichalis, Michail
Source
Issue
Vol. 2020, Issue 2020 (31 Dec. 2020), pp.1-5, 5 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2020-03-13
Country of Publication
Egypt
No. of Pages
5
Main Subjects
Abstract EN
A 53-year-old man was admitted to a peripheral hospital with the diagnosis of acute myocardial infarction without ST elevation.
Due to the concomitant presence of first-diagnosed thrombocytopenia (platelet count 50.000/μL), it was decided to be treated conservatively with clopidogrel.
Five days later, he developed an acute myocardial infarction with ST elevation (STEMI) and was transferred to our department for primary percutaneous coronary intervention (PCI).
Coronary angiography revealed three-vessel disease.
The left anterior descending lesion was considered culprit, and PCI was successfully performed using a drug-eluting balloon.
This approach was considered safer due to the risk of intolerance of prolonged dual antiplatelet therapy in case of stent implantation.
Indeed, four days later, aspirin was discontinued, and the patient remained only on clopidogrel due to a platelet fall.
Meanwhile, idiopathic thrombocytopenic purpura (ITP) was diagnosed by hematology consultation, and specific ITP treatment was initiated.
Seven days following the procedure, the patient was transferred to the Hematology clinic, where a continuous rise of platelet count up to 115.000/μL while on clopidogrel was observed, and he was discharged from the hospital asymptomatic.
Unfortunately, twenty days later, the patient died of a lung infection.
In ITP patients with STEMI, primary PCI with drug-eluting balloon angioplasty may be a reasonable approach.
American Psychological Association (APA)
Iakovis, Nikolaos& Xanthopoulos, Andrew& Chamaidi, Aikaterini& Papamichalis, Michail& Dimos, Apostolos& Triposkiadis, Filippos…[et al.]. 2020. Recurrent Acute Coronary Syndromes in a Patient with Idiopathic Thrombocytopenic Purpura. Case Reports in Cardiology،Vol. 2020, no. 2020, pp.1-5.
https://search.emarefa.net/detail/BIM-1146144
Modern Language Association (MLA)
Iakovis, Nikolaos…[et al.]. Recurrent Acute Coronary Syndromes in a Patient with Idiopathic Thrombocytopenic Purpura. Case Reports in Cardiology No. 2020 (2020), pp.1-5.
https://search.emarefa.net/detail/BIM-1146144
American Medical Association (AMA)
Iakovis, Nikolaos& Xanthopoulos, Andrew& Chamaidi, Aikaterini& Papamichalis, Michail& Dimos, Apostolos& Triposkiadis, Filippos…[et al.]. Recurrent Acute Coronary Syndromes in a Patient with Idiopathic Thrombocytopenic Purpura. Case Reports in Cardiology. 2020. Vol. 2020, no. 2020, pp.1-5.
https://search.emarefa.net/detail/BIM-1146144
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1146144