Reactive thrombocytosis leading to acute myocardial infarction.
Thrombocytosis is defined as platelet count of > 600000. An elevated platelet count may be primarily (essential) or secondary (reactive). Acute myocardial infarction and other vaso-occlusive phenomenon are seen in less than 5% of the patients of reactive thrombocytosis. Here we report such a case. A 49 yr old lady presented with chest pain and had isolated right ventricular infarction that progressed to anteroseptal wall STEMI. Her platelet count was 11 lac; the triggering factor in this case was reactive thrombocytosis secondary to lower respiratory tract infection and iron-deficiency anaemia confirmed after investigations. The clinical diagnosis was confirmed through IL6 levels. The patient was managed aggressively in ICCU, she had an uneventful recovery and was discharged with a normal platelet count.
Swati C
SC
Aundhakar
Sanket K
SK
Mahajan
Makarand B
MB
Mane
Akshay N
AN
Lakhotiya
D018798:Anemia, Iron-Deficiency / Q000150:complications* / Q000628:therapy; D001803:Blood Transfusion; D018450:Disease Progression; D004562:Electrocardiography; D005260:Female; D006801:Humans; D008875:Middle Aged; D009203:Myocardial Infarction / Q000209:etiology* / Q000628:therapy; D010976:Platelet Count; D012141:Respiratory Tract Infections / Q000150:complications*; D013922:Thrombocytosis / Q000209:etiology* / Q000628:therapy