title: [Ischemic heart failure making the diagnosis of a Vaquez disease: a rare event].
abstract: We present the case of a 46-year-old patient without any past medical history, admitted to our ICU for cardiogenic shock complicating acute coronary syndrome. The blood tests found polycethemia, a polycethemia vera was suspected and confirmed by genetic analysis. Ischemic heart failure as an initial symptom of polycethemia vera and its treatment by arterial bleeding is a rare event that we describe in this article.
authors: Département d'anesthésie réanimation, hôpital Nord, rue Borely, 13015 Marseille, France. Electronic address: gary.duclos@ap-hm.fr.
authors: G
authors: G
authors: Duclos
authors: Service de réanimation médicale, hôpital de la Timone, 13005 Marseille, France.
authors: M
authors: M
authors: Eté
authors: Soins intensifs cardiologiques, hôpital de la Timone, 13005 Marseille, France.
authors: C
authors: C
authors: Bassez
authors: Service de réanimation médicale, hôpital de la Timone, 13005 Marseille, France.
authors: M
authors: M
authors: Gainnier
authors: Service de réanimation médicale, hôpital de la Timone, 13005 Marseille, France.
authors: B
authors: B
authors: Eon
mesh_terms: D003422:Critical Care; D025401:Echocardiography, Stress; D004562:Electrocardiography; D006801:Humans; D000860:Hypoxia / Q000209:etiology; D008297:Male; D008875:Middle Aged; D017202:Myocardial Ischemia / Q000175:diagnosis* / Q000628:therapy; D011087:Polycythemia Vera / Q000175:diagnosis / Q000209:etiology / Q000235:genetics; D012770:Shock, Cardiogenic / Q000175:diagnosis / Q000628:therapy; D016896:Treatment Outcome
keywords: Acute coronary syndrome; Acute heart shock; Choc cardiogénique; Maladie de Vaquez; Polycethemia; Polycethemia vera; Polyglobulie; Saignées sanguines thérapeutiques; Syndrome coronarien aigu; Therapeutic bleeding