Infarto com supradesnivelamento do segmento ST e trombo coronariano extenso em paciente com anemia falciforme / ST-segment elevation myocardial infarction with extensive coronary thrombus in a patient with sickle cell anemia
Rev. bras. cardiol. invasiva
;
22(4): 390-393, Oct-Dec/2015. graf
Article
in Portuguese
| LILACS
| ID: lil-744568
RESUMO
O infarto agudo do miocárdio em pacientes com anemia falciforme é, muitas vezes, subdiagnosticado em virtude de fatores de confusão (por exemplo, doença vaso-oclusiva, levando a crises dolorosas). Na maioria dos casos relatados na literatura, as artérias coronárias estavam pérvias e sem lesões. Neste relato de caso, descrevemos a presença de trombo coronariano extenso em paciente com anemia falciforme, apresentando-se sob a forma de infarto agudo do miocárdio com supradesnivelamento do segmento ST, manejado satisfatoriamente com a associação de anticoagulantes e antiplaquetários.
ABSTRACT
Myocardial infarction in patients with sickle cell anemia is often underdiagnosed due to confounding factors (e.g., vasoocclusive disease leading to painful crisis). In the majority of reported cases, the coronary arteries were pervious and without stenotic lesions. In this case report, we describe the presence of an extensive coronary thrombus in a patient with sickle cell anemia presenting with ST elevation myocardial infarction, managed satisfactorily with the association of anticoagulants and antiplatelet drugs.
Full text:
Available
Index:
LILACS (Americas)
Main subject:
Coronary Thrombosis
/
Anemia, Sickle Cell
/
Myocardial Infarction
Limits:
Humans
/
Male
Language:
Portuguese
Journal:
Rev. bras. cardiol. invasiva
Journal subject:
Cardiology
/
General Surgery
Year:
2014
Type:
Article
Affiliation country:
Brazil
Institution/Affiliation country:
Hospital de Clínicas de Porto Alegre/BR
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