Acute Myocardial Infarction in a Patient With Essential Thrombocythemia : Successful Treatment With Percutaneous Transluminal Coronary Recanalization

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概要

• 論文の詳細を見る

• A 65-year-old woman with essential thrombocythemia (ET) was admitted to hospital where she was diagnosed as acute myocardial infarction (AMI). Because of abundant thrombus of right coronary arteries, percutaneous transluminal coronary recanalization by administration of urokinase was selected as the reperfusion therapy, resulting in successful revascularization with Thrombolysis in Myocardial Infarction grade III coronary flow. The maximum creatine kinase reached 507IU/L, and left ventriculography performed at 1 month after initiation of both anticoagulant and antiplatelet therapies revealed reduced motion in the inferior wall with an ejection fraction of 57%. Despite good recovery of left ventricular function, bleeding complications, such as epistaxis or ecchymoma, which did not require blood transfusion, occurred during the clinical course. Because ET causes not only thrombus formation but also bleeding tendency, it is very important to carefully follow-up any clotting abnormality in AMI patients with ET.

• 社団法人日本循環器学会の論文
• 2005-07-20

著者

• MINAMI Junichi

  Dokkyo Medical University

• Mizuta Einosuke

  Department of Cardiovascular Medicine, Faculty of Medicine, Tottori University

• Shigemasa Chiaki

  Department of Cardiovascular Medicine, Faculty of Medicine, Tottori University

• IGAWA Osamu

  Department of Cardiovascular Medicine, Faculty of Medicine, Tottori University

• Hamada Toshihiro

  Department of Cardiovascular Medicine, Faculty of Medicine, Tottori University

• Hisatome Ichiro

  Division of Regenerative Medicine and Therapeutics, Tottori University Faculty of Medicine

• Hamada Toshihiro

  Nippon Medical School

• Shigemasa Chiaki

  Department Of Cardiovascular Medicine Faculty Of Medicine Tottori University

• Shigemasa Chiaki

  鳥取大学 医学部循環器内科

• Itoh Hiroshi

  Division 1 Department Of Pathology Kobe University School Of Medicine

• Miake Junichiro

  Division of Immunology, Molecular and Cellular Biology, School of Life Sciences, Tottori University

• Minami Junichi

  Department Of Medicine Division Of Hypertension And Cardiorenal Disease Dokkyo University School Of

• Igawa Osamu

  Sapporo Medical University

• Shimoyama Masaki

  Kumamoto University

• Shimoyama Masaki

  Department Of Cardiovascular Medicine Graduate School Of Medicine University Of Tokyo School Of Medi

• Hisatome Ichiro

  Division Of Molecular Medicine And Therapeutics Department Of Multidisciplinary Internal Medicine To

• Mizuta Einosuke

  Division of Molecular Medicine and Therapeutics, Department of Multidisciplinary Internal Medicine,

• Sasaki Norihito

  Division Of Regenerative Medicine And Therapeutics Institute Of Regenerative Medicine And Biofunctio

• TAKEDA Shinichi

  Department of Physics,College of General Education,Kyusyu University

• Mizuta Einosuke

  Department Of Multidisciplinary Internal Medicine Tottori University Faculty Of Medicine

• Mizuta Einosuke

  Department Of Bioscience National Cardiovascular Center Research Institute

• Tajima Fumihito

  Department of Medicine and Clinical Science, Tottori University Faculty of Medicine

• Sasaki Norihito

  Department of Molecular Medicine and Therapeutics, Division of Multidisciplinary Internal Medicine,

• Hamada Toshiriro

  Department of Molecular Medicine and Therapeutics, Division of Multidisciplinary Internal Medicine,

• Iimura O

  Sapporo Medical University

• Iimura Osamu

  Second Department Of Internal Medicine Sapporo Medical College

• Tamaki Shinji

  Division Of Cardiology Department Of Medicine Kohka Public Hospital

• Tajima Fumihito

  Division Of Molecular And Genetic Medicine Department Of Genetic Medicine And Regenerative Therapeut

• Tajima Fumihito

  Department Of Hematology Iizuka Hospital

• Takeda Shinichi

  Department Of General Thoracic Surgery Toneyama National Hospital

• Takashima Seiji

  Department Of Molecular Cardiology Osaka University Graduate School Of Medicine

• Haruyama Toshiaki

  The Second Department Of Internal Medicine Tohoku University School Of Medicine

• Hamada Toshihiro

  Department Of Cardiovascular Medicine Tottori University Hospital

• Kim Mitsuyama

  Department Of Pharmacology And Molecular Therapeutics Kumamoto University Graduate School Of Medical

• Takeda Shinichi

  Department Of Cardiovascular Science And Medicine Chiba University Graduate School Of Medicine

• Igawa Osamu

  Department Of Cardiovascular Medicine Faculty Of Medicine Tottori University

• Miake Junichiro

  Division Of Immunology Molecular And Cellular Biology School Of Life Sciences Tottori University

• Shigemasa Chiaki

  Division Of Regenerative Medicine And Therapeutics Department Of Genetic Medicine And Regenerative Medicine And Therapeutics Institute Of Regenerative Medicine And Biofunction Tottori University Graduate School Of Medical Science

• MIAKE Junichiro

  Division of Cardiology, Tottori University Hospital

• Mizuta Einosuke

  Division of Cardiology, Tottori University Faculty of Medicine

• Miake Junichiro

  Division of Cardiology, Tottori University Faculty of Medicine

• Hisatome Ichiro

  Division of Cardiovascular Medicine, Department of Internal Medicine, Tottori University Faculty of Medicine

• Takeda Shinichi

  Department of Applied Chemistry, Faculty of Engineering, Osaka University

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