title: A rare case of arterial thrombosis due to heparin-induced thrombocytopenia.
abstract: A 78-year-old man presented with an eight-hour history of chest distress. Electrocardiograph and serum cardiac enzymes were suggestive of acute inferior myocardial infarction with right ventricular infarction. The patient, who underwent emergency percutaneous coronary intervention, suffered from thrombocytopenia presenting with cerebral infarction and myocadial reinfarction during haparin exposure. The laboratory test for heparin-induced thrombocytopenia (HIT) specific antibodies (heparin-platelet factor, PF4) was positive. The case was diagnosed as arteries thrombosis due to heparin-induced thrombocytopenia; the patient died after cessation of heparin.
authors.affiliation: Department of Cardiology, Peking University Third Hospital, Beijing 100191, China.
authors.forename: Lei
authors.initials: L
authors.lastname: Li
authors.forename: Wei
authors.initials: W
authors.lastname: Gao
authors.forename: Fu-Chun
authors.initials: FC
authors.lastname: Zhang
authors.forename: Jiang-Li
authors.initials: JL
authors.lastname: Han
authors.forename: Yuan
authors.initials: Y
authors.lastname: Zhang
authors.forename: Gui-Song
authors.initials: GS
authors.lastname: Wang
authors.forename: Fei
authors.initials: F
authors.lastname: She
authors.forename: Li-Jun
authors.initials: LJ
authors.lastname: Guo
mesh_terms: D000368:Aged; D003328:Coronary Thrombosis / Q000175:diagnosis* / Q000209:etiology* / Q000378:metabolism; D006493:Heparin / Q000009:adverse effects*; D006801:Humans; D008297:Male; D010978:Platelet Factor 4 / Q000378:metabolism; D013921:Thrombocytopenia / Q000139:chemically induced* / Q000150:complications*
chemical_list: D010978:Platelet Factor 4; D006493:Heparin