Acute ST-elevation myocardial infarction in a young patient with antiphospholipid syndrome.
Ariel F Gonzalez-CorderoMelissa Ruiz-RodríguezBayoan Ramos-ParraJuan Carrillo-VanasMarcel Mesa-PabónHilton Franqui-RiveraPublished in: SAGE open medical case reports (2019)
Acute coronary syndrome rarely occurs in young individuals and is seldomly associated with antiphospholipid syndrome. We report the case of a 26-year-old Hispanic man who presented with acute ST-elevation myocardial infarction and was treated with urgent percutaneous transluminal coronary angioplasty. He experienced stent thrombosis within 48 h of intervention and subsequently developed a left apical thrombus. Hypercoagulable state studies were obtained at admission and 12 weeks after the event establishing the diagnosis of antiphospholipid syndrome.
Keyphrases
- st elevation myocardial infarction
- percutaneous coronary intervention
- acute coronary syndrome
- liver failure
- coronary artery disease
- antiplatelet therapy
- respiratory failure
- randomized controlled trial
- drug induced
- aortic dissection
- middle aged
- emergency department
- coronary artery
- pulmonary embolism
- hepatitis b virus
- minimally invasive
- atrial fibrillation
- african american
- ultrasound guided
- radiofrequency ablation
- transcatheter aortic valve replacement
- preterm birth