• BMJ case reports · Jan 2013

    Case Reports

    Acute MI in a young hypertensive woman: could it be due to tranexamic acid?

    • Prabha Nini Gupta, Ullas R Mullamalla, P Sabin, and Praveen Vellappan.
    • Department of Cardiology, Medical College Hospital, Trivandrum, Kerala, India. ninigupta@gmail.com
    • BMJ Case Rep. 2013 Jan 1;2013.

    AbstractThe case report illustrates an acute myocardial infarction (MI) in a 41-year-old hypertensive woman possibly because of an intake of a combination of tranexamic acid and mefenamic acid for dysmenorrhoea and menorrhagia. There are multiple case reports of MI occurring in the setting of the use of antifibrinolytic agents including tranexamic acid. The present case serves as a warning that, even in patients with an apparently low risk for arterial thrombosis, these drugs may be implicated as a precipitant of MI.

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