• Med Princ Pract · Jan 2014

    Case Reports

    Acute myocardial infarction caused by tumor-associated thrombotic thrombocytopenic purpura: case report.

    • Jun Wang, Xiaomin Cai, Xunmin Cheng, Ping Song, Shisen Jiang, and Jianbin Gong.
    • Department of Cardiology, School of Medicine, Nanjing University, Jinling Hospital/Nanjing General Hospital of Nanjing Military Command, Nanjing, China.
    • Med Princ Pract. 2014 Jan 1; 23 (3): 289-91.

    ObjectiveTo describe a case with acute myocardial infarction caused by gastric carcinoma-associated thrombotic thrombocytopenic purpura.Clinical Presentation And InterventionA 79-year-old man was admitted with abdominal pain and pyrexia. He later developed cardiac complications and microangiopathy that indicated worsening progression. Manifold evidence confirmed the diagnosis of myocardial infarction caused by thrombotic thrombocytopenic purpura. The patient was treated mainly with plasma transfusion incorporated with steroids.ConclusionThis case should remind physicians to consider microangiopathy as a differential diagnosis in patients with unexplained cardiac symptoms or atypical presentation. Early diagnosis and treatment are helpful in decreasing the sequelae of this syndrome.© 2013 S. Karger AG, Basel.

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