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KMID : 0882420080750010108
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Korean Journal of Medicine
2008 Volume.75 No. 1 p.108 ~ p.111
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A case of myocardial infarction with antiphospholipid syndrome
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Choi Hyun-Sook
Kim Eun-Sun
Min Jeong-Yo
Kang Kyung-Mi
Kim Ji-Hun
You Ki-Dong
Kim Chul-Min
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Abstract
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Antiphospholipid syndrome is a multi-system disorder characterized by arterial or venous thromboses and antiphospholipid antibodies, such as lupus anticoagulant or anticardiolipin antibodies. Most common clinical manifestations are recurrent pregnancy losses and deep vein thromboses. Cardiac manifestations in antiphospholipid syndrome include valve abnormalities, occlusive arterial disease, intracardiac emboli, and ventricular dysfunction. Acute myocardial infarction is a rare manifestation of the primary antiphospholipid syndrome. We have experienced a case of myocardial infarction with antiphospholipid syndrome. A 35-year-old man with no cardiovascular risk factors, other than smoking, presented with chest pain. He was diagnosed with an acute myocardial infarction. Our evaluation for coagulapathy revealed elevated lupus anticoagulant antibody. The antiphospholipid syndrome should be considered early in the differential diagnosis as an important cause of unexplained thrombosis in young patients.
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KEYWORD
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Antiphospholipid syndrome, Myocardial infarction, Lupus anticoagulant
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