Acute myocardial infarction associated with blood transfusion: case report and literature review.
A 62-year old patient with a history of chronic anemia associated with malabsorption secondary to short gut syndrome, experienced acute chest pain the second hour after the transfusion of a crossmatch-compatible erythrocyte suspension. His electrocardiogram (ECG) revealed widespread ST-segment depressions and he had an elevated troponin level. Laboratory findings and physical examination did not indicate the presence of immunological or non-immunological blood transfusion reactions. Cardiac catheterization was performed and showed angiographically non-obstructive, atherosclerotic plaques and the absence of vasospasm or thrombus formation. Following antiischemic therapy his symptoms resolved completely. The ECG obtained 24 hours after the emergence of chest pain demonstrated normal sinus rhythm with no ST-T wave changes. We present a rare case of acute myocardial infarction induced following a blood transfusion. To the best of our knowledge, a few cases of acute myocardial infarction associated with blood transfusion have been formally recorded in the medical literature and the clinical experience regarding such cases is indeed quite limited. The present case is reviewed in the context of the relevant literature as a practical resource for clinical practice.
Bitlis State Hospital, Department of Cardiology, Bitlis, Turkey. Electronic address: dr_yalchin_dr@yahoo.com.tr.
Yalcin
Y
Velibey
Bitlis State Hospital, Department of Cardiology, Bitlis, Turkey.
Aliriza
A
Erbay
Bitlis State Hospital, Department of General Surgery, Bitlis, Turkey.
Enver
E
Ozkurt
Bitlis State Hospital, Department of Cardiology, Bitlis, Turkey.
Emrah
E
Usta
Kastamonu State Hospital, Department of Cardiology, Kastamonu, Turkey.
Filiz
F
Akin
D017023:Coronary Angiography; D004562:Electrocardiography; D017707:Erythrocyte Transfusion / Q000009:adverse effects*; D006801:Humans; D008297:Male; D008875:Middle Aged; D009203:Myocardial Infarction / Q000000981:diagnostic imaging / Q000209:etiology / Q000503:physiopathology / Q000628:therapy
Acute myocardial infarction; Blood transfusion; Coronary angiography