| Acute anterior myocardial infarction as first manifestation of acute myeloid leukemia. | |
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MedLine Citation:
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PMID: 11757728 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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A 42-year-old man was admitted with heavy retrosternal pain lasting 30 min. Electrocardiography showed typical signs of acute anterior myocardial infarction. The patient reported only attacks of coughing for a couple of days, and no serious diseases. The physical examination was normal. Laboratory tests showed a white blood cell count of 45/nl, platelet count of 58/nl, and hemoglobin of 14.4 g/dl. Blood chemistry showed elevated lactic dehydrogenase (413 U/l) but no elevation in creatine phosphokinase or glutamic-oxaloacetic transaminase. Therefore no thrombolysis was administered, but coronary angiography was performed. This showed a long-distance, subtotal thrombotic occlusion of the left anterior descending artery. After percutaneous transluminal coronary angioplasty and implantation of serial stents a normal perfusion of the artery was observed. The patient's blood and bone marrow films revealed acute myeloid leukemia FAB M2. Various conditions can cause a myocardial infarction in leukemias. We discuss the clinical management and the possible reasons for a subtotal thrombotic occlusion of the coronary artery. |
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Authors:
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U Jachmann-Jahn; O A Cornely; U Laufs; H W Höpp; I Meuthen; M Krakau; B O'Brien |
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Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: Annals of hematology Volume: 80 ISSN: 0939-5555 ISO Abbreviation: Ann. Hematol. Publication Date: 2001 Nov |
Date Detail:
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Created Date: 2001-12-06 Completed Date: 2001-12-28 Revised Date: 2007-11-15 |
Medline Journal Info:
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Nlm Unique ID: 9107334 Medline TA: Ann Hematol Country: Germany |
Other Details:
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Languages: eng Pagination: 677-81 Citation Subset: IM |
Affiliation:
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Medizinische Klinik, Krankenhaus Köln-Holweide, Cologne, Germany. tujahn@netcologne.de |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Antineoplastic Combined Chemotherapy Protocols / administration & dosage, therapeutic use Blood Coagulation Disorders / complications Bone Marrow Cells / pathology Coronary Angiography Drug Administration Schedule Humans Leukemia, Myeloid, Acute / complications, diagnosis*, drug therapy Male Myocardial Infarction / diagnosis*, etiology, radiography |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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