Hasper D, Schrage D, Niesporek S, Knollmann F, Barckow D, Oppert M
Int J Cardiol. 2006 Jan 26;106(3):407-9. doi: 10.1016/j.ijcard.2004.12.095.
We describe a case of a 41-year-old female patient who was admitted with typical signs of thrombotic-thrombocytopenic purpura. Markers of myocardial ischemia (Troponin T, CK, CK-MB) were even present at admission without symptoms of angina pectoris. Only a few hours after admission the patient developed all signs of cardiogenic shock with subsequently cardiac arrest. Postmortal coronary angiographies showed occlusions in all coronary arteries with significant myocardial necrosis. We are unaware of any report that describes macrovascular occlusions in thrombotic-thrombocytopenic purpura.
我们描述了一例41岁女性患者，她因血栓性血小板减少性紫癜的典型症状入院。入院时即出现心肌缺血标志物（肌钙蛋白T、肌酸激酶、肌酸激酶同工酶），但无心绞痛症状。入院仅数小时后，患者就出现了心源性休克的所有体征，随后心脏骤停。尸检冠状动脉造影显示所有冠状动脉均有闭塞，并伴有明显的心肌坏死。我们未发现任何描述血栓性血小板减少性紫癜大血管闭塞的报告。
