Myocardial infarction in a low risk patient with hereditary hemorrhagic telangiectasia.

Abstract:

:We describe the case of a 57 year-old woman with NSTE ACS, a history of recurrent and prolonged epistaxis, and low prior cardiovascular risk. Additional findings revealed anemia and an aneurysm in her central nervous system. During her hospital stay, hereditary hemorrhagic telangiectasia (HHT) was diagnosed. After application of two antiplatelet drugs, the patient was scheduled for coronarography, followed by coronary artery bypass grafting. During her hospital stay, only a minor episode of epistaxis was observed. We conclude that anemization due to HTT may significantly accelerate the progress of ischemic heart disease, resulting in acute coronary syndrome. Moreover, coronarography preceded by routine application of two antiplatelet drugs seems not to increase the risk of hemorrhage in HHT patients complicated with myocardial infarction.

journal_name

Cardiol J

journal_title

Cardiology journal

authors

Janion M,Brzyzkiewicz H,Siuda M,Domagała S,Karliński M

subject

Has Abstract

pub_date

2010-01-01 00:00:00

pages

189-91

issue

2

issn

1897-5593

journal_volume

17

pub_type

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