Primary Percutaneous Coronary Intervention for Acute Myocardial Infarction with Idiopathic Thrombocytopenic Purpura: A Case Report.
10.3346/jkms.2006.21.2.355
- Author:
Jun Hyung KIM
1
;
Keon Uk PARK
;
Woo Jung CHUN
;
Seong Ho KIM
;
Deuk Young NAH
Author Information
1. Department of Internal Medicine, Gyeongju Hospital, Dongguk University School of Medicine, Gyeongju, Korea. ptca@dumc.or.kr
- Publication Type:Case Report
- Keywords:
Myocardial Infarction;
Percutaneous Coronary Intervention;
Purpura;
Thrombocytopenic;
Idiopathic
- MeSH:
Purpura, Thrombocytopenic, Idiopathic/*complications/drug therapy;
Myocardial Infarction/*complications/*therapy;
Middle Aged;
Immunoglobulins, Intravenous/administration & dosage/adverse effects;
Humans;
Heparin/administration & dosage/adverse effects;
Female;
Anticoagulants/administration & dosage/adverse effects;
*Angioplasty, Transluminal, Percutaneous Coronary
- From:Journal of Korean Medical Science
2006;21(2):355-357
- CountryRepublic of Korea
- Language:English
-
Abstract:
Acute myocardial infarction (AMI) is rare in patients with idiopathic thrombocytopenic purpura (ITP). We describe a case of an AMI during thrombocytopenia in a patient with chronic ITP. A 47-yr-old woman presented with anterior chest pain and a low platelet count (21,000/microliter) at admission. Urgent coronary angiography revealed total occlusion of proximal right coronary artery and primary percutaneous coronary intervention (PCI) was performed successfully. This case suggests that primary PCI may be a therapeutic option for an AMI in patients with ITP, even though the patient had severe thrombocytopenia.
