• Der Internist · Nov 2007

    Case Reports

    [Acute thrombo-embolic elevated ST infarct in a patient with essential thrombocytosis].

    • C Doesch, A E May, G Toncar-Pflumm, N Anders, T Geisler, S Kröber, R Kandolf, and M Gawaz.
    • Medizinische Klinik III, Universitätsklinikum Tübingen, Otfried-Müller-Str. 10, 72076, Tübingen, Deutschland. Christina.Doesch@med.uni-tuebingen.de
    • Internist (Berl). 2007 Nov 1;48(11):1282, 1284-6, 1288-9.

    AbstractA 48-year-old man presented with acute chest pain and a greatly increased platelet count. Emergency coronary angiographic revealed thrombotic occlusion of the right coronary artery. Coronary angioplasty and stenting were successfully combined with intracoronary abciximab administration. Due to inadequate postinterventional platelet inhibition an intensified dual antiplatelet therapy with acetylsalicylic acid (ASS) and clopidogrel was applied to prevent stent thrombosis. Due to the thrombo-embolic complication and a platelet count over 1 million/microl a cytoreductive treatment with hydroxyurea was initiated.

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