Diagnosis of essential thrombocythemia after myocardial infarction and cardiac arrest: A case report

• Published in: Annales de cardiologie et d'angeiologie Vol. 64; no. 4; p. 292
• Main Authors: Cartigny, G, Faivre, V, Stamboul, K, Aulagne, J, Cottin, Y
• Format: Journal Article
• Language: French
• Published: France 01.09.2015
• Subjects: Acute Coronary Syndrome - diagnosis; Acute Coronary Syndrome - therapy; Adult; Cooperative Behavior; Coronary Angiography; Coronary Thrombosis - diagnosis; Coronary Thrombosis - therapy; Extracorporeal Membrane Oxygenation; Heart Arrest - diagnosis; Heart Arrest - therapy; Heart-Assist Devices; Humans; Interdisciplinary Communication; Male; Myocardial Infarction - diagnosis; Myocardial Infarction - therapy; Percutaneous Coronary Intervention; Platelet Aggregation Inhibitors - therapeutic use; Stents; Thrombocythemia, Essential - complications; Thrombocythemia, Essential - diagnosis; Thrombocythemia, Essential - therapy; Myocardial infarction; Cardiac arrest; Traitement cytoréducteur; Anti-agrégants plaquettaires; Infarctus du myocarde; Stent thrombosis; Syndrome coronaire aigu; Arrêt cardio-circulatoire; Essential thrombocythemia; Thrombocytémie essentielle; Antiplatelets; Thrombose de stent; Acute coronary syndrome; Cytoreductive therapy
• ISSN: 1768-3181
• DOI: 10.1016/j.ancard.2015.03.001

Acute coronary syndrome is now a well-known disease, with codified treatments. The main presentation is chest pain, but more and more cases are revealed by cardiorespiratory arrest thanks to pre-hospital care. And, depending on the evolution in such situations, cardiocirculatory support techniques like extracorporeal membrane oxygenation (ECMO) can be implemented. If the more common cause of SCA is atherosclerosis, consequence of the combination of one or more cardiovascular risk factors, there are rare aetiologies, which include myeloproliferative syndromes, in particular essential thrombocythemia. We describe the case of a 34-year-old man presenting with anterior ST-elevation myocardial infarction complicated by an initial cardiac arrest, whose aetiology is unknown essential thrombocythemia, and its therapeutic management requiring circulatory support by ECMO and IMPELLA(®) techniques.