CASE REPORT

Essential trombocytaemia as cause of myocardial infarction

A. Derks, M.H. Bloemer

Abnormalities in the number and function of platelets may contribute to thromboembolic complications in patients with essential thrombocythaemia (ET). Rarely this can lead to an acute myocardial ischaemic syndrome.' We describe a young patient with a myocardial infarction, in whom ET was found as the probable cause. We discuss the clinical presentation of ET and the therapeutic possibilities. (Neth Heart J 2001;9: 383-5.) Key words: essential thrombocythaenia, myocardial infarction, treatment Case A 21-year-old male with no previous cardiac history was seen in the emergency room because of a threeday history of severe chest pain, which started acutely and was associated with nausea and vomiting. The pain was interpreted as myogenic and treated with NSAIDs by the general practitioner. The history revealed no abnormalities, except the use of XTC a week before. Physical examination showed a Moroccan man with a tachycardia and a blood pressure of 120/80 mmHg. His lungs were clear to auscultation. Cardiac examination revealed normal first and second heart sounds and a fourth heart sound. There were no clicks or murmurs. No hepatosplenomegaly was appreciated. The electrocardiogram revealed a sinus tachycardia, small voltages in the standard leads, Q waves and ST elevations in all leads (figure 1). On arrival, the laboratory data showed elevated heart

enzymes with an LDH: 2718 U/L (normal

Essential thrombocythaemia as cause of myocardial infarction.

Abnormalities in the number and function of platelets may contribute to thromboembolic complications in patients with essential thrombocythaemia (ET)...
1MB Sizes 5 Downloads 12 Views

Recommend Documents


Myocardial infarction as a rare cause of otalgia.
Aim. To present a case referred to our clinic with severe right ear pain but without any abnormal finding during otological examination and diagnosed as myocardial infarction and also to draw attention to otalgia which can occur secondary to myocardi

Spontaneous coronary artery dissection as a cause of myocardial infarction.
Spontaneous coronary artery dissection (SCAD) is a rare disease that is usually seen in young women in left descending coronary artery and result in events like sudden cardiac death and acute myocardial infarction. A 70-year-old man was admitted to t

Myocardial infarction as a thrombotic complication of essential thrombocythemia and polycythemia vera.
Detailed analyses of clinical characteristics of myocardial infarction (MI) as an essential thrombocythemia (ET)- and polycythemia vera (PV)-related complication have been so far presented mostly as case reports. Therefore, the aim of this retrospect

An unusual cause of ST elevation myocardial infarction (STEMI).
A 67-year-old Caucasian woman presented to clinic with a 2-month history of worsening shortness of breath on exertion and a single episode of chest pain 1 week before. Her ECG in clinic showed ST elevation inferiorly and she was admitted from clinic

Paradoxical coronary artery embolism - a rare cause of myocardial infarction.
Paradoxical coronary artery embolism is a rare, but often an underdiagnosed cause of acute myocardial infarction. It should be considered in patient who presents with chest pain and otherwise having a low risk profile for atherosclerosis coronary art