ST segment elevation myocardial infarction as a presenting feature of thrombotic thrombocytopenic purpura
| Autor: | Sonali Arora, Senthil K. Sivalingam, Auras R. Atreya, Gregory R. Giugliano |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2012 |
| Předmět: |
medicine.medical_specialty
Acute coronary syndrome ST segment elevation myocardial infarction medicine.diagnostic_test business.industry medicine.medical_treatment electrocardiography microangiopathy Thrombotic thrombocytopenic purpura Electrocardiography in myocardial infarction Clinical Case Report Based Study Microangiopathic hemolytic anemia medicine.disease plasmapheresis Internal medicine medicine Cardiology ST segment Plasmapheresis Myocardial infarction thrombotic thrombocytopenic purpura Cardiology and Cardiovascular Medicine business Electrocardiography |
| Zdroj: | Journal of Cardiovascular Disease Research |
| ISSN: | 0976-2833 0975-3583 |
| Popis: | Myocardial infarction with ST segment elevation (STE) on electrocardiography (ECG) is a common presentation in emergency rooms across the world. Myocardial injury and necrosis are infrequently the initial presentation in patients with thrombotic thrombocytopenic purpura (TTP). A 48-year-old woman presented with STE myocardial infarction from outside hospital for primary percutaneous coronary intervention. However, her clinical picture was not consistent. Rapid evaluation revealed symptoms associated with microangiopathic hemolytic anemia, thrombocytopenia, acute kidney injury with waxing and waning mental status. A diagnosis of TTP was made with low ADAMST-13 activity. Plasmapheresis was initiated along with intravenous steroid therapy. The patient had a full recovery and went home after full recovery of left ventricular ejection fraction and normal myocardial perfusion studies. Rapid evaluation is needed to identify infrequent causes of STE myocardial infarction. As swift protocols are activated in the emergency room and catheterization laboratories to ensure quality control, it is equally important to integrate all aspects of the patient's clinical and objective data to detect unusual disease entities. Key words: Acute coronary syndrome, electrocardiography, microangiopathy, plasmapheresis, ST segment elevation myocardial infarction, thrombotic thrombocytopenic purpura. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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