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Postconditioning with Lactate-enriched Blood for Cardioprotection in ST-segment Elevation Myocardial Infarction
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Published on: May 28, 2019

[Acute myocardial infarction complicating primary antiphospholipid syndrome after aspirin and steroids withdrawal]

K Wahbi1, E Salengro, L Galicier

  • 1Service de cardiologie, hôpital Cochin, université René-Descartes, 27, rue du Faubourg-Saint-Jacques, 75014 Paris, France. karim.wahbi@cch.ap-hop-paris.fr

Annales De Cardiologie Et D'Angeiologie
|August 18, 2005
PubMed

A 24-year-old woman, with known antiphospholid antibodies (APS), presented with an acute myocardial infarction (AMI) that occurred three months after delivery. No risk factors for arteriosclerosis and no past history of arterial/venous thrombosis were noted. During pregnancy, aspirin prophylaxis was prescribed and followed by steroids after caesarian section. Steroids withdrawal was followed by AMI. Immediate coronary angiography revealed thrombotic occlusion of the left descending coronary artery; PTCA was successfully performed. She was discharged with an antiplatelet and anticoagulant regimen. No recurrent coronary event occurred during follow-up.

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