| Literature DB >> 19139745 |
Arnon Adler1, Arnon Afek, Yair Levy, Gad Keren, Jacob George.
Abstract
BACKGROUND: A 35-year-old man with primary antiphospholipid syndrome and no risk factors for atherosclerosis presented with postinfarction angina. INVESTIGATIONS: Coronary angiography, intravascular ultrasonography, injection of apolipoprotein-E-knockout mice with patient's IgG. DIAGNOSIS: Myocardial infarction caused by a newly occluded proximal left circumflex artery. The left anterior descending artery exhibited a recanalized thrombus throughout the vessel. MANAGEMENT: The patient was managed by intensive angicoagulation including aspirin, clopidogrel, and enoxaparin for 2 months. After follow-up coronary angiography, he was switched to warfarin with a target International Normalized Ratio of 3.5-4.0.Entities:
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Year: 2009 PMID: 19139745 DOI: 10.1038/ncpcardio1436
Source DB: PubMed Journal: Nat Clin Pract Cardiovasc Med ISSN: 1743-4297