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Antiplatelet Therapy in a Patient with Coronary Artery Disease and Myelodysplastic Syndrome with Thrombocytopenia.
Fernández-Fernández, Francisco José; Ameneiros-Lago, Eugenia; Tuñas-Gesto, Cintia; Gómez-Buela, Inmaculada.
Afiliación
  • Fernández-Fernández FJ; Department of Internal Medicine, Complejo Hospitalario Universitario de Ferrol, Ferrol 15405, Spain. fjf.fernandez2@gmail.com.
  • Ameneiros-Lago E; Department of Internal Medicine, Complejo Hospitalario Universitario de Ferrol, Ferrol 15405, Spain.
  • Tuñas-Gesto C; Section of Neurology, Complejo Hospitalario Universitario de Ferrol, Ferrol 15405, Spain.
  • Gómez-Buela I; Department of Internal Medicine, Complejo Hospitalario Universitario de Ferrol, Ferrol 15405, Spain.
Acta Medica (Hradec Kralove) ; 60(2): 82-84, 2017.
Article en En | MEDLINE | ID: mdl-28976875
To date, there are no sufficient data to make firm recommendations on the treatment of patients with severe thrombocytopenia who require antiplatelet therapy after experiencing acute coronary syndrome. Therefore, we think that it is important to communicate the experience with individual cases. We report the case of a patient who presented with pericardial effusion causing cardiac tamponade. He had thrombocytopenia associated with myelodysplastic syndrome, and ten weeks before this admission, percutaneous transluminal coronary angioplasty with implantation of drug-eluting stents was performed for non-ST-segment elevation acute coronary syndrome. Platelets in myelodysplastic syndromes are dysfunctional, which exacerbates bleeding from thrombocytopenia, and the management of atherosclerotic cardiovascular disease in these patients is challenging.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Trombocitopenia / Síndromes Mielodisplásicos / Enfermedad de la Arteria Coronaria / Inhibidores de Agregación Plaquetaria Tipo de estudio: Etiology_studies / Guideline Límite: Aged / Humans / Male Idioma: En Revista: Acta Medica (Hradec Kralove) Asunto de la revista: MEDICINA Año: 2017 Tipo del documento: Article País de afiliación: España Pais de publicación: República Checa

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Trombocitopenia / Síndromes Mielodisplásicos / Enfermedad de la Arteria Coronaria / Inhibidores de Agregación Plaquetaria Tipo de estudio: Etiology_studies / Guideline Límite: Aged / Humans / Male Idioma: En Revista: Acta Medica (Hradec Kralove) Asunto de la revista: MEDICINA Año: 2017 Tipo del documento: Article País de afiliación: España Pais de publicación: República Checa