Acute inferior myocardial infarction with nephrotic syndrome

Although thrombotic complications in the venous system are common in patients with nephrotic syndrome, arterial thromboses associated with nephrotic syndrome are much less common. However, coronary thromboses are extremely rarely observed. Whereas venous thromboses predominate in adults, thromboembo...

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Bibliographic Details
Published in:The American journal of emergency medicine 2012, Vol.30 (1), p.260.e1-260.e3
Main Authors: Karabay, Can Yucel, MD, Kocabay, Gonenc, MD, Kalaycı, Arzu, MD
Format: Article
Language:English
Subjects:
Amyloidosis
Amyloidosis - complications
Case reports
Coronary Angiography
Coronary vessels
Edema
Electrocardiography
Emergency
Emergency medical care
Heart attacks
Humans
Kidney diseases
Kidney Diseases - complications
Literature reviews
Male
Medical imaging
Myocardial infarction
Myocardial Infarction - etiology
Nephrotic Syndrome - complications
Patients
Thromboembolism
Thrombosis
Veins & arteries
Young Adult
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Summary:Although thrombotic complications in the venous system are common in patients with nephrotic syndrome, arterial thromboses associated with nephrotic syndrome are much less common. However, coronary thromboses are extremely rarely observed. Whereas venous thromboses predominate in adults, thromboembolic complications of the arterial system are mainly seen in children. We presented a case of acute inferior myocardial infarction secondary to a thrombotic occlusion of the right proximal coronary artery in a 21-year-old man with nephrotic syndrome due to renal amyloidosis. It is interesting that the duration between nephrotic syndrome findings and onset of myocardial infarction was found only 7 days in this case.
ISSN:0735-6757
1532-8171
DOI:10.1016/j.ajem.2010.11.004