Korean J Med.  2015 Feb;88(2):192-196. 10.3904/kjm.2015.88.2.192.

A Case of Polycythemia Vera Presenting as an ST-Elevation Myocardial Infarction

Affiliations
  • 1Division of Cardiology, Department of Internal Medicine, Seoul National University College of Medicine, Seoul, Korea. suhjw1@gmail.com

Abstract

Traditional risk factors for acute myocardial infarction are hypertension, diabetes, dyslipidemia, smoking, and a family history of coronary heart disease. Most acute myocardial infarction patients have at least one of these risk factors. Polycythemia vera is a rare etiological factor for acute myocardial infarction. Polycythemia vera leads to hyperviscous milieu of the blood and increased platelet activity, which increases the chance of thrombotic occlusion of coronary arteries. In this article we report a rare case of polycythemia vera presenting as an ST-elevation myocardial infarction without any traditional risk factors for cardiovascular disease.

Keyword

Polycythemia vera; Myocardial infarction

MeSH Terms

Blood Platelets
Cardiovascular Diseases
Coronary Disease
Coronary Vessels
Dyslipidemias
Humans
Hypertension
Myocardial Infarction*
Polycythemia Vera*
Risk Factors
Smoke
Smoking
Smoke
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