Successful treatment of post-exertion acute myocardial infarction by primary angioplasty and stenting in a patient with antiphospholipid antibody syndrome.
Antiphospholipid syndrome is a disorder characterized by arterial and venous thromboses, thrombocytopaenia and stroke. Acute myocardial infarction is rarely associated with this syndrome. The treatment of these patients is a clinical challenge. This report is about a patient with antiphospholipid syndrome presenting with an acute myocardial infarction after an exercise test. The infarct-related coronary artery was successfully revascularized by primary angioplasty and stenting without any major bleeding complications. We think that the physical exertion could have favoured acute coronary thrombosis in this particular setting.
Musuraca
Gerardo
G
Division of Cardiology, S. Maria del Carmine Hospital, Rovereto (Trento), Italy. musuraca@yahoo.it
Imperadore
Ferdinando
F
Terraneo
Clotilde
C
De Girolamo
Piergiuseppe
P
Cemin
Claudio
C
Bonmassari
Roberto
R
Vergara
Giuseppe
G
D015906:Angioplasty, Balloon, Coronary; D016736:Antiphospholipid Syndrome / Q000150:complications*; D005080:Exercise Test / Q000009:adverse effects; D006801:Humans; D008297:Male; D008875:Middle Aged; D009203:Myocardial Infarction / Q000209:etiology / Q000628:therapy*; D011655:Pulmonary Embolism / Q000188:drug therapy / Q000209:etiology; D015607:Stents; D016896:Treatment Outcome; D020246:Venous Thrombosis / Q000188:drug therapy / Q000209:etiology; D014859:Warfarin / Q000008:administration & dosage
D014859:Warfarin