Invasive treatment performed for acute myocardial infarction in a patient with immune thrombocytopenic purpura
详细信息 查看全文
- 作者：Maria Cruz Ferrer Gracia ; Isabel Calvo Cebollero ; Juan Sá ; nchez-Rubio Lezcano ; Gabriel Galache Osuna ; José ; Antonio Diarte Miguel ; Luis Placer Peralta
- 关键词：Acute myocardial infarction ; Idiopathic thrombocytopenic purpura ; Primary coronary angioplasty ; Vascular closure devices
- 刊名：International Journal of Cardiology
- 出版年：2008
- 出版时间：21 July 2008
- 年：2008
- 卷：127
- 期：3
- 页码：e183-e185
- 全文大小：116 K
文摘
Acute myocardial infarction (AMI) is infrequent in patients with idiopathic thrombocytopenic purpura (ITP) so the best treatment is not well known. The next case shows a 37-year-old man with chronic ITP who suffered an anterior AMI, the platelet count at admission was 39,000 μL. He was treated successfully with primary percutaneous angioplasty under anticoagulation with unfractionated heparin and antiaggregation with clopidogrel and ASA. At the end of the procedure we sealed the femoral access site with Angio-Seal®. He didn´t have any complications during the procedure and after six months remained asymptomatic. In some patients with chronic ITP and AMI the percutaneous treatment could be a good option.