Non-ST-segment Elevation Myocardial Infarction in a Patient With Essential Thrombocythemia Treated With Glycoprotein IIb/IIIa Inhibitor: A Case Report

被引:3
作者
Zhang, Zhiyong [1 ]
Wan, Xinhong [1 ]
Liu, Yuanyuan [1 ]
Lin, Xiangmin [1 ]
Ni, Zhuhua [1 ]
Yang, Xinchun [1 ]
Zhang, Lin [1 ]
机构
[1] Capital Med Univ, Ctr Heart, Beijing Chaoyang Hosp, Beijing 100020, Peoples R China
关键词
essential thrombocythemia; myocardial infarction; glycoprotein IIb/IIIa receptor blocker; THROMBOSIS;
D O I
10.1177/1076029610379846
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Essential thrombocythemia (ET) can cause systemic vascular thrombosis but rarely cause obstruction of coronary arteries or acute myocardial infarction (MI). Treatment of acute MI in patients with ET may be a problem due to the important role of platelets in the pathogenesis of infarction. In this report, a 63-year-old man presented with acute chest pain and a greatly increased platelet count. The patient was successfully treated with intravenous tirofiban, a glycoprotein IIb/IIIa receptor blocker. Essential thrombocythemia was diagnosed based on bone marrow findings, clinical presentation, and laboratory analysis. Thrombocythemia had been controlled with hydroxyurea.
引用
收藏
页码:532 / 534
页数:3
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