Davis Mark I, Courtney Brian K, Cohen Gideon, Poon Stephanie, Madan Mina
Division of Cardiology, Department of Medicine, Sunnybrook Health Sciences Centre, University of Toronto, Toronto, Canada.
Division of Cardiac Surgery, Department of Surgery, Sunnybrook Health Sciences Centre, University of Toronto, Toronto, Canada.
Case Rep Cardiol. 2019 Jan 22;2019:9656387. doi: 10.1155/2019/9656387. eCollection 2019.
Acute coronary syndromes (ACS) usually occur in patients with multiple cardiac risk factors. In young adults, drug use and hypercoagulable states are common causes for ACS presentations. We report a case of a man in his early 30s who was diagnosed with polycythemia vera (PV) and had a cardiac arrest due to an anterolateral ST elevation myocardial infarction. We discuss his unique management and review the evidence on the management of arterial thromboembolism in PV patients.
急性冠状动脉综合征(ACS)通常发生在有多种心脏危险因素的患者中。在年轻成年人中,药物使用和高凝状态是ACS表现的常见原因。我们报告一例30岁出头的男性病例,该患者被诊断为真性红细胞增多症(PV),并因前侧壁ST段抬高型心肌梗死发生心脏骤停。我们讨论了他独特的治疗方法,并回顾了关于PV患者动脉血栓栓塞治疗的证据。