Primary antiphospholipid syndrome with acute myocardial infarction recanalised by PTCA

A 20 year old man with severe chest pain was hospitalised for acute myocardial infarction. Coronary angiography revealed total obstruction of his right coronary artery, which was successfully recanalised by direct percutaneous transluminal coronary angioplasty (PTCA). There was also diffuse thrombi...

Full description

Saved in:
Bibliographic Details
Published in:Heart (British Cardiac Society) 1998-01, Vol.79 (1), p.96-98
Main Authors: Takeuchi, Susumu, Obayashi, Toshihiro, Toyama, Junji
Format: Article
Language:English
Subjects:
acute myocardial infarction
Adult
Angioplasty
Angioplasty, Balloon, Coronary
Anticoagulants
Antiphospholipid Syndrome - complications
Antiphospholipid Syndrome - diagnosis
Antiphospholipid Syndrome - diagnostic imaging
Biological and medical sciences
Cardiology. Vascular system
Case Report
Coronary Angiography
Coronary heart disease
Heart
Heart attacks
Humans
Lupus
Male
Medical sciences
Myocardial Infarction - diagnostic imaging
Myocardial Infarction - etiology
Myocardial Infarction - therapy
percutaneous transluminal coronary angioplasty
primary antiphospholipid syndrome
Veins & arteries
Citations: Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
cited_by cdi_FETCH-LOGICAL-b544t-3bf9d1731467b9ca44e331cf49b761d02373d757a4c8a8fb175a139ea61c57543
cites
container_end_page 98
container_issue 1
container_start_page 96
container_title Heart (British Cardiac Society)
container_volume 79
creator Takeuchi, Susumu
Obayashi, Toshihiro
Toyama, Junji
description A 20 year old man with severe chest pain was hospitalised for acute myocardial infarction. Coronary angiography revealed total obstruction of his right coronary artery, which was successfully recanalised by direct percutaneous transluminal coronary angioplasty (PTCA). There was also diffuse thrombi in the left coronary artery that was not recanalised by perfusion with 3000 U pro-urokinase. Anticoagulant therapy was performed after PTCA. Creatine kinase peaked one day after hospitalisation (4805 U/l). The activated partial thromboplastin time was 62.6 seconds (45%). Plasma anticardiolipin IgG antibodies were high (3.8 and 2.7) in repeated examinations. The PTCA site was patent after three months. Primary antiphospholipid syndrome should be considered as a cause of acute myocardial infarction in young adults, and PTCA with anticoagulant treatment is effective for initial treatment of the syndrome.
doi_str_mv 10.1136/hrt.79.1.96
format article
fullrecord <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_1728581</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>79729296</sourcerecordid><originalsourceid>FETCH-LOGICAL-b544t-3bf9d1731467b9ca44e331cf49b761d02373d757a4c8a8fb175a139ea61c57543</originalsourceid><addsrcrecordid>eNp9kd1rFDEUxQex1Lb65LMQUPpSZk0m3y-FslgrLFqkFt_CnUzGzTozWZMZdf97s-6yVh98CDdwDj_OubconhM8I4SK18s4zqSekZkWj4oTwoQqK0w-P85_ynkpMJVPitOUVhhjppU4Lo41x1xX-qS4v42-h7hBMIx-vQwpv86vfYPSZmhi6B364cclAjuNDvWbYCE2HjrkhxaiHX0YUHQWBuh8cg2qN-j2bn71tDhqoUvu2X6eFZ-u39zNb8rFh7fv5leLsuaMjSWtW90QSXNmWWsLjDlKiW2ZrqUgDa6opI3kEphVoNqaSA6EageCWC45o2fF5Y67nureNdYNY4TOrHelTABv_lYGvzRfwndDZKW4IhlwvgfE8G1yaTS9T9Z1HQwuTMlILau8KJGNL_8xrsIUc-2UWQpLVUm-xV3sXDaGlKJrD1EINttjmXysDDXE_Ga-eJj-4N1fJ-uv9jokC10bYbA-HWwVqRTF2yWUO5tPo_t5kCF-NUJSyc37-7kR9CPFeHFt6J_Odb_6b75f-qa5Hg</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1780782751</pqid></control><display><type>article</type><title>Primary antiphospholipid syndrome with acute myocardial infarction recanalised by PTCA</title><source>PubMed Central</source><creator>Takeuchi, Susumu ; Obayashi, Toshihiro ; Toyama, Junji</creator><creatorcontrib>Takeuchi, Susumu ; Obayashi, Toshihiro ; Toyama, Junji</creatorcontrib><description>A 20 year old man with severe chest pain was hospitalised for acute myocardial infarction. Coronary angiography revealed total obstruction of his right coronary artery, which was successfully recanalised by direct percutaneous transluminal coronary angioplasty (PTCA). There was also diffuse thrombi in the left coronary artery that was not recanalised by perfusion with 3000 U pro-urokinase. Anticoagulant therapy was performed after PTCA. Creatine kinase peaked one day after hospitalisation (4805 U/l). The activated partial thromboplastin time was 62.6 seconds (45%). Plasma anticardiolipin IgG antibodies were high (3.8 and 2.7) in repeated examinations. The PTCA site was patent after three months. Primary antiphospholipid syndrome should be considered as a cause of acute myocardial infarction in young adults, and PTCA with anticoagulant treatment is effective for initial treatment of the syndrome.</description><identifier>ISSN: 1355-6037</identifier><identifier>EISSN: 1468-201X</identifier><identifier>DOI: 10.1136/hrt.79.1.96</identifier><identifier>PMID: 9505929</identifier><language>eng</language><publisher>London: BMJ Publishing Group Ltd and British Cardiovascular Society</publisher><subject>acute myocardial infarction ; Adult ; Angioplasty ; Angioplasty, Balloon, Coronary ; Anticoagulants ; Antiphospholipid Syndrome - complications ; Antiphospholipid Syndrome - diagnosis ; Antiphospholipid Syndrome - diagnostic imaging ; Biological and medical sciences ; Cardiology. Vascular system ; Case Report ; Coronary Angiography ; Coronary heart disease ; Heart ; Heart attacks ; Humans ; Lupus ; Male ; Medical sciences ; Myocardial Infarction - diagnostic imaging ; Myocardial Infarction - etiology ; Myocardial Infarction - therapy ; percutaneous transluminal coronary angioplasty ; primary antiphospholipid syndrome ; Veins &amp; arteries</subject><ispartof>Heart (British Cardiac Society), 1998-01, Vol.79 (1), p.96-98</ispartof><rights>British Cardiac Society</rights><rights>1998 INIST-CNRS</rights><rights>Copyright: 1998 British Cardiac Society</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-b544t-3bf9d1731467b9ca44e331cf49b761d02373d757a4c8a8fb175a139ea61c57543</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC1728581/pdf/$$EPDF$$P50$$Gpubmedcentral$$H</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC1728581/$$EHTML$$P50$$Gpubmedcentral$$H</linktohtml><link.rule.ids>230,314,727,780,784,885,4024,27923,27924,27925,53791,53793</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&amp;idt=2128304$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/9505929$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Takeuchi, Susumu</creatorcontrib><creatorcontrib>Obayashi, Toshihiro</creatorcontrib><creatorcontrib>Toyama, Junji</creatorcontrib><title>Primary antiphospholipid syndrome with acute myocardial infarction recanalised by PTCA</title><title>Heart (British Cardiac Society)</title><addtitle>Heart</addtitle><description>A 20 year old man with severe chest pain was hospitalised for acute myocardial infarction. Coronary angiography revealed total obstruction of his right coronary artery, which was successfully recanalised by direct percutaneous transluminal coronary angioplasty (PTCA). There was also diffuse thrombi in the left coronary artery that was not recanalised by perfusion with 3000 U pro-urokinase. Anticoagulant therapy was performed after PTCA. Creatine kinase peaked one day after hospitalisation (4805 U/l). The activated partial thromboplastin time was 62.6 seconds (45%). Plasma anticardiolipin IgG antibodies were high (3.8 and 2.7) in repeated examinations. The PTCA site was patent after three months. Primary antiphospholipid syndrome should be considered as a cause of acute myocardial infarction in young adults, and PTCA with anticoagulant treatment is effective for initial treatment of the syndrome.</description><subject>acute myocardial infarction</subject><subject>Adult</subject><subject>Angioplasty</subject><subject>Angioplasty, Balloon, Coronary</subject><subject>Anticoagulants</subject><subject>Antiphospholipid Syndrome - complications</subject><subject>Antiphospholipid Syndrome - diagnosis</subject><subject>Antiphospholipid Syndrome - diagnostic imaging</subject><subject>Biological and medical sciences</subject><subject>Cardiology. Vascular system</subject><subject>Case Report</subject><subject>Coronary Angiography</subject><subject>Coronary heart disease</subject><subject>Heart</subject><subject>Heart attacks</subject><subject>Humans</subject><subject>Lupus</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Myocardial Infarction - diagnostic imaging</subject><subject>Myocardial Infarction - etiology</subject><subject>Myocardial Infarction - therapy</subject><subject>percutaneous transluminal coronary angioplasty</subject><subject>primary antiphospholipid syndrome</subject><subject>Veins &amp; arteries</subject><issn>1355-6037</issn><issn>1468-201X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1998</creationdate><recordtype>article</recordtype><recordid>eNp9kd1rFDEUxQex1Lb65LMQUPpSZk0m3y-FslgrLFqkFt_CnUzGzTozWZMZdf97s-6yVh98CDdwDj_OubconhM8I4SK18s4zqSekZkWj4oTwoQqK0w-P85_ynkpMJVPitOUVhhjppU4Lo41x1xX-qS4v42-h7hBMIx-vQwpv86vfYPSZmhi6B364cclAjuNDvWbYCE2HjrkhxaiHX0YUHQWBuh8cg2qN-j2bn71tDhqoUvu2X6eFZ-u39zNb8rFh7fv5leLsuaMjSWtW90QSXNmWWsLjDlKiW2ZrqUgDa6opI3kEphVoNqaSA6EageCWC45o2fF5Y67nureNdYNY4TOrHelTABv_lYGvzRfwndDZKW4IhlwvgfE8G1yaTS9T9Z1HQwuTMlILau8KJGNL_8xrsIUc-2UWQpLVUm-xV3sXDaGlKJrD1EINttjmXysDDXE_Ga-eJj-4N1fJ-uv9jokC10bYbA-HWwVqRTF2yWUO5tPo_t5kCF-NUJSyc37-7kR9CPFeHFt6J_Odb_6b75f-qa5Hg</recordid><startdate>199801</startdate><enddate>199801</enddate><creator>Takeuchi, Susumu</creator><creator>Obayashi, Toshihiro</creator><creator>Toyama, Junji</creator><general>BMJ Publishing Group Ltd and British Cardiovascular Society</general><general>BMJ</general><general>BMJ Publishing Group LTD</general><scope>BSCLL</scope><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>88I</scope><scope>8AF</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>BTHHO</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>M2P</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>Q9U</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>199801</creationdate><title>Primary antiphospholipid syndrome with acute myocardial infarction recanalised by PTCA</title><author>Takeuchi, Susumu ; Obayashi, Toshihiro ; Toyama, Junji</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-b544t-3bf9d1731467b9ca44e331cf49b761d02373d757a4c8a8fb175a139ea61c57543</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1998</creationdate><topic>acute myocardial infarction</topic><topic>Adult</topic><topic>Angioplasty</topic><topic>Angioplasty, Balloon, Coronary</topic><topic>Anticoagulants</topic><topic>Antiphospholipid Syndrome - complications</topic><topic>Antiphospholipid Syndrome - diagnosis</topic><topic>Antiphospholipid Syndrome - diagnostic imaging</topic><topic>Biological and medical sciences</topic><topic>Cardiology. Vascular system</topic><topic>Case Report</topic><topic>Coronary Angiography</topic><topic>Coronary heart disease</topic><topic>Heart</topic><topic>Heart attacks</topic><topic>Humans</topic><topic>Lupus</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Myocardial Infarction - diagnostic imaging</topic><topic>Myocardial Infarction - etiology</topic><topic>Myocardial Infarction - therapy</topic><topic>percutaneous transluminal coronary angioplasty</topic><topic>primary antiphospholipid syndrome</topic><topic>Veins &amp; arteries</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Takeuchi, Susumu</creatorcontrib><creatorcontrib>Obayashi, Toshihiro</creatorcontrib><creatorcontrib>Toyama, Junji</creatorcontrib><collection>Istex</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>ProQuest Health &amp; Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Science Database (Alumni Edition)</collection><collection>STEM Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>BMJ Journals</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>SciTech Premium Collection (Proquest) (PQ_SDU_P3)</collection><collection>ProQuest Health &amp; Medical Complete (Alumni)</collection><collection>Health &amp; Medical Collection (Alumni Edition)</collection><collection>PML(ProQuest Medical Library)</collection><collection>ProQuest Science Journals</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Heart (British Cardiac Society)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Takeuchi, Susumu</au><au>Obayashi, Toshihiro</au><au>Toyama, Junji</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Primary antiphospholipid syndrome with acute myocardial infarction recanalised by PTCA</atitle><jtitle>Heart (British Cardiac Society)</jtitle><addtitle>Heart</addtitle><date>1998-01</date><risdate>1998</risdate><volume>79</volume><issue>1</issue><spage>96</spage><epage>98</epage><pages>96-98</pages><issn>1355-6037</issn><eissn>1468-201X</eissn><abstract>A 20 year old man with severe chest pain was hospitalised for acute myocardial infarction. Coronary angiography revealed total obstruction of his right coronary artery, which was successfully recanalised by direct percutaneous transluminal coronary angioplasty (PTCA). There was also diffuse thrombi in the left coronary artery that was not recanalised by perfusion with 3000 U pro-urokinase. Anticoagulant therapy was performed after PTCA. Creatine kinase peaked one day after hospitalisation (4805 U/l). The activated partial thromboplastin time was 62.6 seconds (45%). Plasma anticardiolipin IgG antibodies were high (3.8 and 2.7) in repeated examinations. The PTCA site was patent after three months. Primary antiphospholipid syndrome should be considered as a cause of acute myocardial infarction in young adults, and PTCA with anticoagulant treatment is effective for initial treatment of the syndrome.</abstract><cop>London</cop><pub>BMJ Publishing Group Ltd and British Cardiovascular Society</pub><pmid>9505929</pmid><doi>10.1136/hrt.79.1.96</doi><tpages>3</tpages><oa>free_for_read</oa></addata></record>
fulltext fulltext
identifier ISSN: 1355-6037
ispartof Heart (British Cardiac Society), 1998-01, Vol.79 (1), p.96-98
issn 1355-6037
1468-201X
language eng
recordid cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_1728581
source PubMed Central
subjects acute myocardial infarction
Adult
Angioplasty
Angioplasty, Balloon, Coronary
Anticoagulants
Antiphospholipid Syndrome - complications
Antiphospholipid Syndrome - diagnosis
Antiphospholipid Syndrome - diagnostic imaging
Biological and medical sciences
Cardiology. Vascular system
Case Report
Coronary Angiography
Coronary heart disease
Heart
Heart attacks
Humans
Lupus
Male
Medical sciences
Myocardial Infarction - diagnostic imaging
Myocardial Infarction - etiology
Myocardial Infarction - therapy
percutaneous transluminal coronary angioplasty
primary antiphospholipid syndrome
Veins & arteries
title Primary antiphospholipid syndrome with acute myocardial infarction recanalised by PTCA
url http://sfxeu10.hosted.exlibrisgroup.com/loughborough?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-07T18%3A49%3A53IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_pubme&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Primary%20antiphospholipid%20syndrome%20with%20acute%20myocardial%20infarction%20recanalised%20by%20PTCA&rft.jtitle=Heart%20(British%20Cardiac%20Society)&rft.au=Takeuchi,%20Susumu&rft.date=1998-01&rft.volume=79&rft.issue=1&rft.spage=96&rft.epage=98&rft.pages=96-98&rft.issn=1355-6037&rft.eissn=1468-201X&rft_id=info:doi/10.1136/hrt.79.1.96&rft_dat=%3Cproquest_pubme%3E79729296%3C/proquest_pubme%3E%3Cgrp_id%3Ecdi_FETCH-LOGICAL-b544t-3bf9d1731467b9ca44e331cf49b761d02373d757a4c8a8fb175a139ea61c57543%3C/grp_id%3E%3Coa%3E%3C/oa%3E%3Curl%3E%3C/url%3E&rft_id=info:oai/&rft_pqid=1780782751&rft_id=info:pmid/9505929&rfr_iscdi=true