title: Primary percutaneous coronary intervention for acute myocardial infarction with idiopathic thrombocytopenic purpura: a case report.
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.
authors.affiliation: Department of Internal Medicine, Gyeongju Hospital, Dongguk University School of Medicine, Seokjang-dong, Gyeongju, Korea.
authors.forename: Jun Hyung
authors.initials: JH
authors.lastname: Kim
authors.forename: Keon Uk
authors.initials: KU
authors.lastname: Park
authors.forename: Woo Jung
authors.initials: WJ
authors.lastname: Chun
authors.forename: Seong Ho
authors.initials: SH
authors.lastname: Kim
authors.forename: Deuk Young
authors.initials: DY
authors.lastname: Nah
mesh_terms: D015906:Angioplasty, Balloon, Coronary; D000925:Anticoagulants / Q000008:administration & dosage / Q000009:adverse effects; D005260:Female; D006493:Heparin / Q000008:administration & dosage / Q000009:adverse effects; D006801:Humans; D016756:Immunoglobulins, Intravenous / Q000008:administration & dosage / Q000009:adverse effects; D008875:Middle Aged; D009203:Myocardial Infarction / Q000150:complications* / Q000628:therapy*; D016553:Purpura, Thrombocytopenic, Idiopathic / Q000150:complications* / Q000188:drug therapy
chemical_list: D000925:Anticoagulants; D016756:Immunoglobulins, Intravenous; D006493:Heparin