Myocardial Infarction Due to Essential Thrombocythemia

Bairong Chen, Mao Liu, Liyun Luo, Yin Huang, Ani Wang, Xiufang Lin, Songbiao Li
2015 International Journal of Cardiovascular and Cerebrovascular Disease  
Essential thrombocythemia (ET) is a proliferative disorder of mature myeloid which may lead to persistently elevated platelet count. The clinical manifestations of ET include hemorrhagic and thrombotic complications, especially thrombus in the cerebral and peripheral arteries. However, coronary artery thrombosis in ET patient is rare. In this article, we report a 78-year-old woman who presented with acute myocardial infarction (AMI) as the first clinical sign of ET. Diagnostic coronary
more » ... c coronary angiography revealed acute occlusion of the right coronary artery and percutaneous aspiration thrombectomy was performed successfully. The patient then received hydroxycarbamide and prednisone under supervision of a haematologist. She recovered very well during a follow-up more than three months. With this case, we hope that clinicians would always keep in mind that ET is an unusual cause of AMI and the patients with ET should be informed about the risk of fatal cardiac events.
doi:10.13189/ijccd.2015.030202 fatcat:lp3mjvbqynarljf5yoyzxgxvxi