title: The mystery of recurrent idiopathic cerebrovascular and coronary arterial thrombosis.
abstract: A 46-year-old man presented to our hospital with ST elevation myocardial infarction (STEMI). Previous records revealed a history of recurrent non-STEMI, stroke and transient ischaemic attacks. He was thoroughly investigated with coronary angiography, a cerebral CT angiography, thrombophilia panel and autoimmune screening tests, all of which proved negative. His current episode of STEMI resulted while on dual antiplatelet therapy; the patient was investigated for P2Y12 receptor resistance, which was also negative. A diagnosis of idiopathic recurrent arterial thrombosis was established and the patient was discharged home on aspirin and warfarin. Routine follow-up has revealed no recurrence of symptoms.
authors.affiliation: Department of Cardiology, Rashid Hospital, Dubai Health Authority, Dubai, UAE.
authors.forename: Ali Raza
authors.initials: AR
authors.lastname: Rajani
authors.affiliation: Department of Cardiology, Rashid Hospital, Dubai Health Authority, Dubai, UAE.
authors.forename: Wael Ezzat
authors.initials: WE
authors.lastname: Mahmoud
authors.affiliation: Department of Cardiology, Rashid Hospital, Dubai Health Authority, Dubai, UAE.
authors.forename: Vagishwari
authors.initials: V
authors.lastname: Murugesan
authors.affiliation: Department of Cardiology, Rashid Hospital, Dubai Health Authority, Dubai, UAE.
authors.forename: Azan Salem
authors.initials: AS
authors.lastname: BinBrek
mesh_terms: D000925:Anticoagulants / Q000627:therapeutic use; D001241:Aspirin / Q000627:therapeutic use; D002545:Brain Ischemia / Q000188:drug therapy / Q000209:etiology*; D003328:Coronary Thrombosis / Q000150:complications* / Q000175:diagnosis* / Q000188:drug therapy; D003937:Diagnosis, Differential; D004562:Electrocardiography; D006801:Humans; D008297:Male; D008875:Middle Aged; D009203:Myocardial Infarction / Q000188:drug therapy / Q000209:etiology*; D010975:Platelet Aggregation Inhibitors / Q000627:therapeutic use; D012008:Recurrence; D014859:Warfarin / Q000627:therapeutic use
chemical_list: D000925:Anticoagulants; D010975:Platelet Aggregation Inhibitors; D014859:Warfarin; D001241:Aspirin