J Korean Med Sci.  2006 Apr;21(2):355-357. 10.3346/jkms.2006.21.2.355.

Primary Percutaneous Coronary Intervention for Acute Myocardial Infarction with Idiopathic Thrombocytopenic Purpura: A Case Report

• Kim JH
• Park KU
• Chun WJ
• Kim SH
• Nah DY

• KMID: 1781850
• DOI: http://doi.org/10.3346/jkms.2006.21.2.355

Abstract

Acute myocardial infarction (AMI) is rare in patients with idiopathic thrombocytopenic purpura (ITP). We describe a case of an AMI during thrombocytopenia in a patient with chronic ITP. A 47-yr-old woman presented with anterior chest pain and a low platelet count (21,000/microliter) at admission. Urgent coronary angiography revealed total occlusion of proximal right coronary artery and primary percutaneous coronary intervention (PCI) was performed successfully. This case suggests that primary PCI may be a therapeutic option for an AMI in patients with ITP, even though the patient had severe thrombocytopenia.

Keyword

Myocardial Infarction; Percutaneous Coronary Intervention; Purpura; Thrombocytopenic; Idiopathic

MeSH Terms

Purpura, Thrombocytopenic, Idiopathic/*complications/drug therapy
Myocardial Infarction/*complications/*therapy
Middle Aged
Immunoglobulins, Intravenous/administration & dosage/adverse effects
Humans
Heparin/administration & dosage/adverse effects
Female
Anticoagulants/administration & dosage/adverse effects
*Angioplasty, Transluminal, Percutaneous Coronary