[A case of intracoronary stent implanted for acute myocardial infarction in an elderly patient with idiopathic thrombocytopenic purpura]
| Autor: | Sayaka Kikuchi, Yutaka Hayashi, Naoto Ochi, Hitoshi Kukita, Seiji Fujioka |
|---|---|
| Rok vydání: | 2002 |
| Předmět: |
medicine.medical_specialty
medicine.medical_treatment Myocardial Infarction Internal medicine Coronary stent medicine Humans cardiovascular diseases Myocardial infarction Angioplasty Balloon Coronary Aged Purpura Thrombocytopenic Idiopathic medicine.diagnostic_test business.industry Atrial fibrillation medicine.disease Thrombocytopenic purpura Surgery Stenosis Purpura Cardiology Female Stents Geriatrics and Gerontology Petechia medicine.symptom Chest radiograph business |
| Zdroj: | Nihon Ronen Igakkai zasshi. Japanese journal of geriatrics. 39(1) |
| ISSN: | 0300-9173 |
| Popis: | A 68-year-old woman with idiopathic thrombocytopenic purpura (ITP) was admitted to our hospital with acute myocardial infarction on 7 February 1999. She had been treated since 1991 for mitral stenosis and regurgitation, atrial fibrillation due to mitralism, diabetes mellitus, hypertension, hyperlipidemia. Chest radiograph on admission showed cardiomegaly with congestion and cardiothoracic ratio was 63%. The platelet count on admission was 22,000/microliter, but she did not have petechia or purpura. Urgent coronary angiography revealed total occlusion in segment 7, and 13 and 75% stenosis in segment 4PD, 9 and 10. Subsequently, direct percutaneous transluminal coronary angioplasty (PTCA) was performed in segment 7. Dissection occurred during the intervention, and a coronary stent was implanted, we started heparin infusion and medication with ticlopidine hydrochloride as post-stenting therapy after the intervention, and there was no bleeding tendency. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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