急性心筋梗塞を発症しステント留置した高齢者特発性血小板減少性紫斑病の１例

• 菊池 清香

  宇和島社会保険病院内科

• 林 豊

  宇和島社会保険病院内科

• 藤岡 精二

  宇和島社会保険病院内科

• 茎田 仁志

  宇和島社会保険病院内科

• 越智 直登

  鷹の子病院内科

書誌事項

タイトル別名

• A Case of Intracoronary Stent Implanted for Acute Myocardial Infarction in an Elderly Patient with Idiopathic Thrombocytopenic Purpura.

抄録

A 68-year-old woman with idiopathic thrombocytopenic purpura (ITP) was admitted to our hospital with acute myocardial infarction on 7 February 1999. She had been treated since 1991 for mitral stenosis and regurgitation, atrial fibrillation due to mitralism, diabetes mellitus, hypertension, hyperlipidemia. Chest radiograph on admission showed cardiomegaly with congestion and cardiothoracic ratio was 63%. The platelet count on admission was 22, 000/μl, but she did not have petechia or purpura. Urgent coronary angiography revealed total occlusion in segment 7, and 13 and 75% stenosis in segment 4PD, 9 and 10. Subsequently, direct percutaneous transluminal coronary angioplasty (PTCA) was performed in segment 7. Dissection occurred during the intervention, and a coronary stent was implanted. we started heparin infusion and medication with ticlopidine hydrochloride as post-stenting therapy after the intervention, and there was no bleeding tendency.

収録刊行物

• 日本老年医学会雑誌

  日本老年医学会雑誌 39 (1), 88-93, 2002

  一般社団法人 日本老年医学会

キーワード

• 特発性血小板減少性紫斑病
• 急性心筋梗塞
• 経皮的冠動脈形成術
• 高齢者

詳細情報

• CRID: 1390001205020927360
• NII論文ID: 130003652797
• NII論文ID: 10008508216
• NII書誌ID: AN00199010
• DOI: 10.3143/geriatrics.39.88
• ISSN: 03009173
• PubMed: 11857981
• Web Site: https://search.jamas.or.jp/link/ui/2002174867
• 本文言語コード: ja
• データソース種別:
  • JaLC
  • Crossref
  • PubMed
  • CiNii Articles
• 抄録ライセンスフラグ: 使用不可