格雷夫斯病所致血栓前状态与早发心肌梗死风险。
Graves'-induced prothrombotic state and the risk of early-onset myocardial infarction.
机构信息
Imperial College Healthcare NHS Trust, London, UK.
Imperial College Healthcare NHS Trust, London, UK
出版信息
BMJ Case Rep. 2021 Jun 11;14(6):e243446. doi: 10.1136/bcr-2021-243446.
Abstract
Hyperthyroidism represents a state of hypercoagulability and hypofibrinolysis, which predisposes an individual to the increased risk of thromboembolism. We present a case of a 25-year-old patient presenting with an acute myocardial infarction secondary to plaque rupture with thrombotic occlusion of proximal left anterior descending artery, in a patient known to have Graves' disease. She had a sudden ventricular fibrillation arrest and a precordial thump given and cardiopulmonary resuscitation started. She successfully underwent cardiac catheterisation. Subsequent thyroid function tests showed she was in active thyrotoxicosis.
摘要
甲状腺功能亢进症表现为高凝状态和低纤维蛋白溶解状态，使个体易发生血栓栓塞的风险增加。我们报告了一例 25 岁患者，因斑块破裂导致左前降支近端血栓性闭塞引起急性心肌梗死。该患者已知患有格雷夫斯病。她突然发生心室颤动骤停，进行了心前区叩击，并开始心肺复苏。她成功接受了心脏导管插入术。随后的甲状腺功能检查显示她处于活跃的甲状腺毒症状态。
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