title: Acute myocardial infarction caused by tumor-associated thrombotic thrombocytopenic purpura: case report.
abstract: OBJECTIVE
  To describe a case with acute myocardial infarction caused by gastric carcinoma-associated thrombotic thrombocytopenic purpura.
  
  
  METHODS
  A 79-year-old man was admitted with abdominal pain and pyrexia. He later developed cardiac complications and microangiopathy that indicated worsening progression. Manifold evidence confirmed the diagnosis of myocardial infarction caused by thrombotic thrombocytopenic purpura. The patient was treated mainly with plasma transfusion incorporated with steroids.
  
  
  CONCLUSIONS
  This case should remind physicians to consider microangiopathy as a differential diagnosis in patients with unexplained cardiac symptoms or atypical presentation. Early diagnosis and treatment are helpful in decreasing the sequelae of this syndrome.
authors: Department of Cardiology, School of Medicine, Nanjing University, Jinling Hospital/Nanjing General Hospital of Nanjing Military Command, Nanjing, China.
authors: Jun
authors: J
authors: Wang
authors: Xiaomin
authors: X
authors: Cai
authors: Xunmin
authors: X
authors: Cheng
authors: Ping
authors: P
authors: Song
authors: Shisen
authors: S
authors: Jiang
authors: Jianbin
authors: J
authors: Gong
mesh_terms: D000208:Acute Disease; D000368:Aged; D006801:Humans; D008297:Male; D009203:Myocardial Infarction / Q000175:diagnosis* / Q000209:etiology*; D011697:Purpura, Thrombotic Thrombocytopenic / Q000150:complications*; D013274:Stomach Neoplasms / Q000150:complications*
references: J Emerg Med. 2003 May;24(4):407-11
references: 12745043
references: Pathophysiol Haemost Thromb. 2003 Sep-2004 Dec;33(5-6):417-21
references: 15692254
references: Semin Hematol. 1987 Jul;24(3):161-77
references: 3310241
references: Mt Sinai J Med. 2003 Oct;70(5):352-5
references: 14631522
references: Med Princ Pract. 2012;21(6):538-42
references: 22571957
references: Medicine (Baltimore). 1981 Nov;60(6):413-28
references: 7031412
references: Presse Med. 2012 Mar;41(3 Pt 2):e163-76
references: 22265954
references: Oncologist. 2003;8(4):375-80
references: 12897334
references: Blood. 2001 Sep 15;98(6):1765-72
references: 11535510
references: Int J Cardiol. 2009 Mar 20;133(1):e1-2
references: 18068236