Acute myocardial infarction as initial manifestation of primary antiphospholipid syndrome: Case Report
Journal Title: Revista Cuarzo - Year 2019, Vol 25, Issue 2
Abstract
Introduction. Primary antiphospholipid syndrome (APS) is commonly manifested with venous thrombosis more than with arterial thrombosis. In the latter, the most common thrombosis is cerebral, although it can debut with acute myocardial infarction (AMI). According to that, is important to know the context in which we must suspect thrombotic events as APS manifestation, especially in the heart taking into account the impact in the prognosis. This paper describes a case of APS in a 29-years-old male who was admitted in the emergency room with pain in the left lower limb associated to signs of local inflammation that blocks walking; history of primary APS due to 2 AMI and one deep venous thrombosis (DVT) whereby the patient was anticoagulated with coumarin. The physical exam was compatible with left DVT, that was confirmed after with Doppler, so there is considered a recurrence of the base disease and low molecular weight heparin was initiated. At fifth day of hospitalization, the patient had clinical improvement, so he was discharged. Next, AMI is discussed as first manifestation of APS, highlighting the causes, presentation, management and prognosis.
Authors and Affiliations
Pedraza Arévalo, L. , & Guzmán, R.
Keywords
Related Articles
- EP ID EP694668
- DOI https://doi.org/10.26752/cuarzo.v25.n2.444
- Views 152
- Downloads 0
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