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白塞病合并急性冠状动脉综合征的管理

Management of acute coronary syndrome in a case of Behçet's disease.

作者信息

Ergelen Mehmet, Soylu Ozer, Uyarel Huseyin, Yildirim Aydin, Osmonov Damirbek, Orhan Ahmet L

机构信息

Department of Cardiology, Siyami Ersek Cardiovascular and Thoracic Surgery Center, Istanbul, Turkey.

出版信息

Blood Coagul Fibrinolysis. 2009 Dec;20(8):715-8. doi: 10.1097/MBC.0b013e32832f2af2.

Abstract

Behcet's disease is a multisystemic, rheumatic disorder characterized by oral and genital ulceration and ocular inflammation. Although cardiac involvement is not rare as a manifestation of Behcet's disease, coronary arteritis is reported seldom. We present the first case of left main coronary artery thrombosis in literature leading to acute myocardial infarction that was successfully treated with thrombolytic therapy and glycoprotein IIb/IIIa receptor inhibitors in Behcet's disease.

摘要

白塞病是一种多系统的风湿性疾病,其特征为口腔和生殖器溃疡以及眼部炎症。尽管心脏受累作为白塞病的一种表现并不罕见,但冠状动脉炎的报道很少。我们报告了文献中首例白塞病导致左主干冠状动脉血栓形成并引发急性心肌梗死的病例,该病例通过溶栓治疗和糖蛋白IIb/IIIa受体抑制剂成功治愈。

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