Spontaneous coronary artery dissection in a young patient with antiphospholipid syndrome

Autor:	Ai Phi Thuy Ho, Eirik Tjønnfjord, Oliver Meyerdierks, Ellen Elisabeth Brodin
Jazyk:	angličtina
Rok vydání:	2024
Předmět:	Antiphospholipid syndrome Percutaneous coronary intervention Spontaneous coronary artery dissection Chest pain Diseases of the blood and blood-forming organs RC633-647.5
Zdroj:	Thrombosis Journal, Vol 22, Iss 1, Pp 1-7 (2024)
Druh dokumentu:	article
ISSN:	1477-9560
DOI:	10.1186/s12959-023-00573-5
Popis:	Abstract A 28-year-old man diagnosed with triple positive antiphospholipid syndrome (APS) and undergoing warfarin experienced three separate admissions to the cardiac ward within a one-month period due to escalating chest pain. While the initial two admissions revealed normal results in cardiological investigations, such as blood tests, electrocardiogram, and echocardiography, the third admission unveiled signs of ST-elevation myocardial infarction (STEMI), despite the patient maintaining an INR (International Normalized Ratio) of 4. Subsequent percutaneous coronary intervention (PCI) exposed spontaneous coronary artery dissection (SCAD) of type 3. Faced with hemodynamic instability and worsening symptoms, the patient underwent stenting and was prescribed dual antiplatelet therapy in addition to warfarin. A follow-up evaluation one month later indicated a normalization of his condition.
Databáze:	Directory of Open Access Journals
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