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急性冠状动脉综合征作为原发性血小板增多症的首发表现:对心脏病专家的一项挑战。

Acute coronary syndrome as the first manifestation of essential thrombocythaemia: A challenge for cardiologists.

作者信息

Garcipérez de Vargas Francisco Javier, Ramírez Ariza María Antonia, Sánchez Calderón Pablo, Mellado Delgado Pedro, García García Pablo, Gómez Barrado José Javier

机构信息

Servicio de Cardiología, Hospital Don Benito-Villanueva de la Serena, Don Benito, Badajoz, España.

Medicina Familiar y Comunitaria, Unidad Docente de Don Benito, Don Benito, Badajoz, España.

出版信息

Clin Investig Arterioscler. 2020 May-Jun;32(3):126-128. doi: 10.1016/j.arteri.2019.10.007. Epub 2020 Jan 21.

DOI:10.1016/j.arteri.2019.10.007
PMID:31980199
Abstract

We present the case is presented of an acute coronary syndrome in a 30-year-old patient with essential thrombocythaemia. Acute coronary syndromes occur in 9% of cases in these patients, and their management constitutes a challenge for the cardiologist, specifically in terms of choosing the most appropriate antiplatelet therapy and its duration, taking into account that these patients have a high thrombotic risk, as well as a considerable haemorrhagic risk.

摘要

我们报告了一例30岁原发性血小板增多症患者发生急性冠状动脉综合征的病例。这些患者中9%会发生急性冠状动脉综合征,其治疗对心脏病专家构成挑战,特别是在选择最合适的抗血小板治疗及其疗程方面,因为要考虑到这些患者有高血栓形成风险以及相当大的出血风险。

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