Thrombocytopenia, immunoglobulin treatment, and acute myocardial infarction: A case report

Guy Amit, Tikva Yermiyahu, Harel Gilutz, Reuben Ilia, Doron Zahger

    Research output: Contribution to journalArticlepeer-review

    8 Scopus citations

    Abstract

    Platelets play a pivotal role in the pathophysiology of the acute coronary syndromes, and platelet inhibition is a cornerstone in the management of these patients. Patients with profound thrombocytopenia who present with an acute coronary syndrome present a difficult challenge. The authors report a patient with immune thrombocytopenic purpura who presented with acute myocardial infarction despite a very low platelet count and who sustained recurrent infarction after receiving immune globulin treatment. The best management of thrombocytopenic patients with acute coronary syndromes is uncertain, but extreme caution is needed before efforts are made to raise the platelet count in order to allow conventional treatment.

    Original languageEnglish
    Pages (from-to)229-231
    Number of pages3
    JournalAngiology
    Volume56
    Issue number2
    DOIs
    StatePublished - 1 Mar 2005

    ASJC Scopus subject areas

    • Cardiology and Cardiovascular Medicine

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