Cartigny G, Faivre V, Stamboul K, Aulagne J, Cottin Y
Cardiologie, Bocage central, CHU de Dijon, 14, rue Gaffarel, 21079 Dijon cedex, France.
Réanimation cardiovasculaire, Bocage central, CHU de Dijon, 14, rue Gaffarel, 21000 Dijon, France.
Ann Cardiol Angeiol (Paris). 2015 Sep;64(4):292-5. doi: 10.1016/j.ancard.2015.03.001. Epub 2015 Jun 1.
Acute coronary syndrome is now a well-known disease, with codified treatments. The main presentation is chest pain, but more and more cases are revealed by cardiorespiratory arrest thanks to pre-hospital care. And, depending on the evolution in such situations, cardiocirculatory support techniques like extracorporeal membrane oxygenation (ECMO) can be implemented. If the more common cause of SCA is atherosclerosis, consequence of the combination of one or more cardiovascular risk factors, there are rare aetiologies, which include myeloproliferative syndromes, in particular essential thrombocythemia. We describe the case of a 34-year-old man presenting with anterior ST-elevation myocardial infarction complicated by an initial cardiac arrest, whose aetiology is unknown essential thrombocythemia, and its therapeutic management requiring circulatory support by ECMO and IMPELLA(®) techniques.
急性冠状动脉综合征如今已是一种广为人知的疾病，有规范的治疗方法。其主要表现为胸痛，但由于院前急救，越来越多的病例是通过心肺骤停发现的。而且，根据此类情况的发展，可实施体外膜肺氧合（ECMO）等心脏循环支持技术。如果心搏骤停（SCA）最常见的原因是动脉粥样硬化，即一种或多种心血管危险因素共同作用的结果，那么也存在罕见病因，包括骨髓增殖性综合征，尤其是原发性血小板增多症。我们描述了一名34岁男性的病例，该患者表现为前壁ST段抬高型心肌梗死并伴有初始心脏骤停，其病因是不明的原发性血小板增多症，其治疗管理需要通过ECMO和Impella®技术进行循环支持。
