Kim Jun Hyung, Park Keon Uk, Chun Woo Jung, Kim Seong Ho, Nah Deuk Young
Department of Internal Medicine, Gyeongju Hospital, Dongguk University School of Medicine, Seokjang-dong, Gyeongju, Korea.
J Korean Med Sci. 2006 Apr;21(2):355-7. doi: 10.3346/jkms.2006.21.2.355.
Acute myocardial infarction (AMI) is rare in patients with idiopathic thrombocytopenic purpura (ITP). We describe a case of an AMI during thrombocytopenia in a patient with chronic ITP. A 47-yr-old woman presented with anterior chest pain and a low platelet count (21,000/microliter) at admission. Urgent coronary angiography revealed total occlusion of proximal right coronary artery and primary percutaneous coronary intervention (PCI) was performed successfully. This case suggests that primary PCI may be a therapeutic option for an AMI in patients with ITP, even though the patient had severe thrombocytopenia.
急性心肌梗死（AMI）在特发性血小板减少性紫癜（ITP）患者中较为罕见。我们描述了一例慢性ITP患者在血小板减少期间发生AMI的病例。一名47岁女性入院时出现前胸疼痛，血小板计数较低（21,000/微升）。紧急冠状动脉造影显示右冠状动脉近端完全闭塞，成功进行了直接经皮冠状动脉介入治疗（PCI）。该病例表明，即使患者存在严重血小板减少，直接PCI仍可能是ITP患者AMI的一种治疗选择。
