Subacute thrombosis of two stents as a cause of acute myocardial infarction
Authors:
F. Roháč; L. Lisá; P. Toušek
Authors‘ workplace:
Univerzity Karlovy, Praha
; Přednosta: Prof. MUDr. Petr Widimský, DrSc., FESC.
; III. Interní-kardiologická klinika
Fakultní nemocnice Královské Vinohrady a 3. lékařská fakulta
Published in:
Prakt. Lék. 2009; 89(1): 40-42
Category:
Case Report
Overview
This case describes a patient with a history of chronic coronary artery disease and its acute manifestation of myocardial infarction (MI) who developed stent thrombosis as a result of premature cessation of dual antiplatelet therapy. These days MI is usually treated with coronary intervention using stents. During stent delivery, dual antiplatelet medications such as acetylsalicylic acid (ASA) and thienopyridins (clopidogrel, ticlopidin) are used to reduce stent thrombosis. Cessation of this therapy dramatically increases the risk of stent thrombosis. The most commonly used thienopyridine (clopidogrel) is not completely covered by health insurance, which may lead to premature cessation of this therapy.
Key words:
coronary stent, stent thrombosis, coronary intervention.
Sources
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Labels
General practitioner for children and adolescents General practitioner for adultsArticle was published in
General Practitioner
2009 Issue 1
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