Platelet glycoprotein IIb/IIIa receptor blockade with integrilin (eptifibatide) for early postinfarction angina in a patient with coronary arterial ectasia.
A middle-aged male with multivessel proximal coronary ectasia presented with thrombosis-related acute myocardial infarction and early postinfarct angina, and was successfully treated with a combination of intravenous integrilin (eptifibatide) and unfractionated heparin. The possible aetiology, prognosis and available management strategies are discussed.
Grigorov
V
V
Helen Joseph Hospital, Department of Cardiology, University of the Witwatersrand, Johannesburg, South Africa.
Goldberg
L
L
Mekel
J
J
D000328:Adult; D000789:Angina, Unstable / Q000188:drug therapy* / Q000209:etiology; D000925:Anticoagulants / Q000627:therapeutic use*; D017023:Coronary Angiography; D003326:Coronary Circulation / Q000187:drug effects; D004108:Dilatation, Pathologic / Q000000981:diagnostic imaging / Q000188:drug therapy; D004359:Drug Therapy, Combination; D000077542:Eptifibatide; D006493:Heparin / Q000627:therapeutic use*; D006801:Humans; D008297:Male; D009203:Myocardial Infarction / Q000150:complications / Q000188:drug therapy*; D017202:Myocardial Ischemia / Q000150:complications / Q000188:drug therapy; D010455:Peptides / Q000627:therapeutic use*; D010975:Platelet Aggregation Inhibitors / Q000627:therapeutic use; D019039:Platelet Glycoprotein GPIIb-IIIa Complex / Q000037:antagonists & inhibitors*
D000925:Anticoagulants; D010455:Peptides; D010975:Platelet Aggregation Inhibitors; D019039:Platelet Glycoprotein GPIIb-IIIa Complex; D006493:Heparin; D000077542:Eptifibatide