The mystery of recurrent idiopathic cerebrovascular and coronary arterial thrombosis. (24th November 2014)

• Record Type: Journal Article
• Authors: Rajani, Ali Raza; Mahmoud, Wael Ezzat; Murugesan, Vagishwari; BinBrek, Azan Salem
• Is Part Of: BMJ case reports. Volume 2014
• Publication Date: 2014-11-24
• Subjects: Medicine -- Case studies -- Periodicals; 610.5
• DOI: 10.1136/bcr-2014-205430
• Languages: English
• ISSNs: 1757-790X

Abstract

Abstract : A 46-year-old man presented to our hospital with ST elevation myocardial infarction (STEMI). Previous records revealed a history of recurrent non-STEMI, stroke and transient ischaemic attacks. He was thoroughly investigated with coronary angiography, a cerebral CT angiography, thrombophilia panel and autoimmune screening tests, all of which proved negative. His current episode of STEMI resulted while on dual antiplatelet therapy; the patient was investigated for P2Y12 receptor resistance, which was also negative. A diagnosis of idiopathic recurrent arterial thrombosis was established and the patient was discharged home on aspirin and warfarin. Routine follow-up has revealed no recurrence of symptoms.