Can obstructive sleep apnea be a cause of in-stent thrombosis?
We present the case of a 45-year-old patient readmitted to Central University Hospital at 3 a.m. for acute retrosternal chest pain associated with ST-segment elevation in lead I, aVL, V1-V6 in standard 12-lead ECG performed on admission in emergency department. Coronary angiography revealed late in-stent thrombosis in left anterior descending artery. According to the new universal definition of myocardial infarction patient was finally recognized acute ST-segment elevation myocardial infarction type 4b with additional diagnosis of severe obstructive sleep apnea and overweight.
Hrynkiewicz-Szymanska
Anna
A
Department of Cardiology, The Medical University of Warsaw, Warsaw, Poland. anna.szymanska@wum.edu.pl
Szymanski
Filip M
FM
Filipiak
Krzysztof J
KJ
Grabowski
Marcin
M
Dąbrowska-Kugacka
Alicja
A
Karpinski
Grzegorz
G
Opolski
Grzegorz
G
D015906:Angioplasty, Balloon, Coronary; D056988:Anterior Wall Myocardial Infarction / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy; D003131:Combined Modality Therapy; D045422:Continuous Positive Airway Pressure; D017023:Coronary Angiography; D023903:Coronary Restenosis / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy; D003328:Coronary Thrombosis / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy; D004562:Electrocardiography; D006801:Humans; D008297:Male; D008875:Middle Aged; D009765:Obesity / Q000150:complications; D010359:Patient Readmission; D017286:Polysomnography; D012008:Recurrence; D012307:Risk Factors; D020181:Sleep Apnea, Obstructive / Q000150:complications* / Q000175:diagnosis; D015607:Stents; D017131:Thrombectomy