title: Acute myocardial infarction in a patient with essential thrombocythemia who underwent successful stenting--a case report.
abstract: Essential thrombocythemia (ET) can cause systemic vascular thrombosis, but involvement of coronary arteries in the setting of ET is rare. This report describes a case of acute myocardial infarction (MI) in a patient with ET. A 67-year-old man with ET complained of severe acute chest pain. Emergent coronary angiography revealed subtotal thrombotic occlusion of the left main trunk (LMT) coronary artery. Coronary angioplasty and stenting were performed successfully. Coronary angiography 4 weeks later revealed no significant restenosis. The patient has done well after primary coronary stenting with the use of only an antiplatelet agent to treat the thrombocythemia.
authors.affiliation: Department of Cardiology, Tokushima Prefectural Central Hospital, Tokushima, Japan. wtomo@par.odn.ne.jp
authors.forename: Tomonori
authors.initials: T
authors.lastname: Watanabe
authors.forename: Hiroyuki
authors.initials: H
authors.lastname: Fujinaga
authors.forename: Yasumasa
authors.initials: Y
authors.lastname: Ikeda
authors.forename: Teruo
authors.initials: T
authors.lastname: Higashi
authors.forename: Masaru
authors.initials: M
authors.lastname: Murakami
authors.forename: Keiji
authors.initials: K
authors.lastname: Kawahara
authors.forename: Ikuro
authors.initials: I
authors.lastname: Hayashi
authors.forename: Toshiharu
authors.initials: T
authors.lastname: Niki
authors.forename: Toshio
authors.initials: T
authors.lastname: Shigekiyo
authors.forename: Tetsuzo
authors.initials: T
authors.lastname: Wakatsuki
mesh_terms: D000368:Aged; D015906:Angioplasty, Balloon, Coronary; D006801:Humans; D008297:Male; D009203:Myocardial Infarction / Q000000981:diagnostic imaging / Q000209:etiology* / Q000628:therapy*; D010975:Platelet Aggregation Inhibitors / Q000627:therapeutic use; D011859:Radiography; D015607:Stents; D013920:Thrombocythemia, Essential / Q000150:complications* / Q000188:drug therapy
chemical_list: D010975:Platelet Aggregation Inhibitors