A case of myocardial infarction with antiphospholipid syndrome.
- Author:
Hyun Sook CHOI
1
;
Eun Sun KIM
;
Jeong Yo MIN
;
Kyung Mi KANG
;
Ji Hoon KIM
;
Ki Dong YOO
;
Chul Min KIM
Author Information
1. Department of Internal Medicine, The Catholic University of Korea College of Medicine, Seoul, Korea. magickkm@catholic.ac.kr
- Publication Type:Case Report
- Keywords:
Antiphospholipid syndrome;
Myocardial infarction;
Lupus anticoagulant
- MeSH:
Adult;
Antibodies, Anticardiolipin;
Antibodies, Antiphospholipid;
Antiphospholipid Syndrome;
Chest Pain;
Diagnosis, Differential;
Humans;
Lupus Coagulation Inhibitor;
Myocardial Infarction;
Pregnancy;
Risk Factors;
Smoke;
Smoking;
Thrombosis;
Venous Thrombosis;
Ventricular Dysfunction
- From:Korean Journal of Medicine
2008;75(1):108-111
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Antiphospholipid syndrome is a multi-system disorder characterized by arterial or venous thromboses and antiphospholipid antibodies, such as lupus anticoagulant or anticardiolipin antibodies. Most common clinical manifestations are recurrent pregnancy losses and deep vein thromboses. Cardiac manifestations in antiphospholipid syndrome include valve abnormalities, occlusive arterial disease, intracardiac emboli, and ventricular dysfunction. Acute myocardial infarction is a rare manifestation of the primary antiphospholipid syndrome. We have experienced a case of myocardial infarction with antiphospholipid syndrome. A 35-year-old man with no cardiovascular risk factors, other than smoking, presented with chest pain. He was diagnosed with an acute myocardial infarction. Our evaluation for coagulapathy revealed elevated lupus anticoagulant antibody. The antiphospholipid syndrome should be considered early in the differential diagnosis as an important cause of unexplained thrombosis in young patients.
