Dhillon Sandeep K, Lee Edwin, Fox John, Rachko Maurice
Division of Cardiology, Department of Internal Medicine, University Hospital and Manhattan Campus for the Albert Einstein College of Medicine - Beth Israel Medical Center, New York, USA.
Cardiol Res. 2011 Feb;2(1):42-45. doi: 10.4021/cr11w. Epub 2011 Jan 20.
Acute myocardial infarction (AMI) in patients with immune thrombocytopenic purpura (ITP) is rare. We describe a case of AMI in patient with ITP. An 81-year-old woman presented with acute inferoposterior MI with low platelet count on admission (34,000/µl). Coronary angiography revealed significant mid right coronary artery (RCA) stenosis with thrombus, subsequently underwent successful percutaneous coronary intervention (PCI). In some patients with immune thrombocytopenia purpura and acute myocardial infarction, percutaneous coronary intervention is a therapeutic option.
免疫性血小板减少性紫癜（ITP）患者发生急性心肌梗死（AMI）较为罕见。我们描述了一例ITP患者发生AMI的病例。一名81岁女性入院时表现为急性下后壁心肌梗死且血小板计数较低（34,000/µl）。冠状动脉造影显示右冠状动脉（RCA）中段有明显狭窄并伴有血栓形成，随后成功接受了经皮冠状动脉介入治疗（PCI）。对于一些免疫性血小板减少性紫癜合并急性心肌梗死的患者，经皮冠状动脉介入治疗是一种治疗选择。
