title: An unusual culprit: simple angioplasty for a complex disease.
abstract: We present the case of an atypical presentation of myelofibrosis presenting with acute inferior-wall ST-elevation myocardial infarction. Besides cigarette smoking, the patient had no known traditional cardiovascular risk factors like diabetes, hypertension, or a sedentary lifestyle. He, however, had a hypercoagulable state due to a myeloproliferative neoplasm. This demonstrates that the typical presentation of a common emergency condition may involve more complex underlying illness, which when identified, may change the approach to the management of the patient for a more optimal outcome.
authors.affiliation: B.P. Koirala Institute of Health Sciences, Dharan, Nepal. nikeshmd@gmail.com.
authors.forename: Nikesh Raj
authors.initials: NR
authors.lastname: Shrestha
authors.forename: Smriti
authors.initials: S
authors.lastname: Karki
authors.forename: Uttar
authors.initials: U
authors.lastname: Mainali
mesh_terms: D000368:Aged; D015906:Angioplasty, Balloon, Coronary; D001706:Biopsy; D001853:Bone Marrow / Q000473:pathology; D017023:Coronary Angiography; D054059:Coronary Occlusion / Q000150:complications* / Q000000981:diagnostic imaging / Q000209:etiology; D006801:Humans; D008297:Male; D009203:Myocardial Infarction / Q000209:etiology / Q000628:therapy*; D055728:Primary Myelofibrosis / Q000150:complications* / Q000175:diagnosis*; D015607:Stents; D016896:Treatment Outcome