Document Detail

Vigorous exercise as a triggering mechanism for late stent thrombosis: A description of three cases.
MedLine Citation:
PMID:  19929240     Owner:  NLM     Status:  MEDLINE    
Although (very) late coronary stent thrombosis is a rare complication after percutaneous coronary interventions (PCI), its consequences are devastating with a high morbidity and mortality. Previous studies have identified several clinical, procedural and angiographic characteristics that are associated with stent thrombosis but little is known about the underlying mechanisms that induce, provoke or trigger the of stent thrombosis. In the present paper, we describe three patients who suffered from a stent thrombosis immediately after vigorous exercise. Patient 1 suffered a stent thrombosis (ST) after performing an in-hospital bicycle ergometer test, 6 weeks after an acute coronary syndrome. Patient 2 suffered from ST immediately following his first excessive endurance cycling tour, more than 2 years after myocardial infarction. Patient 3 suffered ST while performing vigorous exercise on a bicycle ergometer in a fitness centre. These findings implicate that ST might be triggered by vigorous exercise, especially in untrained patients. Further research after triggering mechanisms of ST is urgently warranted.
Bastiaan Zwart; Tjitske C Van Kerkvoorde; Jochem W van Werkum; Nicoline J Breet; Jurriën M Ten Berg; Arnoud W J Van 't Hof
Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Platelets     Volume:  21     ISSN:  1369-1635     ISO Abbreviation:  Platelets     Publication Date:  2010  
Date Detail:
Created Date:  2010-01-15     Completed Date:  2010-03-05     Revised Date:  2012-09-26    
Medline Journal Info:
Nlm Unique ID:  9208117     Medline TA:  Platelets     Country:  England    
Other Details:
Languages:  eng     Pagination:  72-6     Citation Subset:  IM    
Department of Cardiology, St. Antonius Hospital, Nieuwegein, The Netherlands.
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MeSH Terms
Middle Aged
Stents / adverse effects*
Thrombosis / etiology*

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