Non-ST Elevation Myocardial Infraction after High Dose Intravenous Immunoglobulin Infusion
Joint Authors
Orenbuch-Harroch, Efrat
Mizrahi, Meir
Adar, Tomer
Elitzur, Yair
Source
Issue
Vol. 2009, Issue 2009 (31 Dec. 2009), pp.1-4, 4 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2010-02-22
Country of Publication
Egypt
No. of Pages
4
Main Subjects
Abstract EN
Intravenous immunoglobulins (IVIgs) are used for several indications, including autoimmune conditions.
IVIg treatment is associated with several possible adverse reactions including induction of a hypercoagulable state.
We report a 76-year-old woman treated with IVIg for myasthenia gravis, which developed chest pain and weakness following IVIg infusion.
The symptoms were associated with ST segment depression in V4–6 and elevated troponin levels.
The patient was diagnosed with non-ST elevation myocardial infarction (NSTEMI).
The patient had no significant risk factor besides age and a cardiac perfusion scan was interpreted as normal (the patient refused to undergo cardiac catheterization).
This case is compatible with IVIg-induced hypercoagulability resulting in NSTEMI.
Cardiac evaluation should therefore be considered prior to initiation of IVIg treatment especially in patients with multiple cardiovascular risks.
American Psychological Association (APA)
Mizrahi, Meir& Adar, Tomer& Orenbuch-Harroch, Efrat& Elitzur, Yair. 2010. Non-ST Elevation Myocardial Infraction after High Dose Intravenous Immunoglobulin Infusion. Case Reports in Medicine،Vol. 2009, no. 2009, pp.1-4.
https://search.emarefa.net/detail/BIM-504172
Modern Language Association (MLA)
Mizrahi, Meir…[et al.]. Non-ST Elevation Myocardial Infraction after High Dose Intravenous Immunoglobulin Infusion. Case Reports in Medicine No. 2009 (2009), pp.1-4.
https://search.emarefa.net/detail/BIM-504172
American Medical Association (AMA)
Mizrahi, Meir& Adar, Tomer& Orenbuch-Harroch, Efrat& Elitzur, Yair. Non-ST Elevation Myocardial Infraction after High Dose Intravenous Immunoglobulin Infusion. Case Reports in Medicine. 2010. Vol. 2009, no. 2009, pp.1-4.
https://search.emarefa.net/detail/BIM-504172
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-504172