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KMID : 0368120140440010042
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Korean Circulation Journal
2014 Volume.44 No. 1 p.42 ~ p.44
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Myocardial Infarction Type 4b in Human Immunodeficiency Virus-Infected Patient
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Cybula-Walczak Aneta
Szymanski Filip M
Platek Anna E
Karpinski Grzegorz
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Abstract
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We report a case of a 52-year-old human immunodeficiency virus (HIV)-infected male patient receiving combined antiretroviral therapy (cART), who presented with acute ST-elevation myocardial infarction (STEMI). He was properly treated (e.g., prescribed anti-coagulation drugs: aspirin, clopidogrel, enoxaparin) and discharged. After 1.5 months, another STEMI related with in-stent thrombosis took place. The cART scheme was altered, resulting in no further cardiac events in the follow-up period, with undetectable levels of HIV ribonucleic acid. This case highlights the association between HIV infection and the specific drugs of cART, and the risk of cardiovascular disease development.
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KEYWORD
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Human immunodeficiency virus, Myocardial infarction, Antiretroviral therapy
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