Acute ST-Segment Elevation Myocardial Infarction as Initial Presentation of Atypical Hemolytic-Uremic Syndrome.

急性 ST 段抬高型心肌梗死作为非典型溶血性尿毒症综合征的首发表现.

• 发表时间: Apr 2021
• 来源期刊: JACC Case Rep
• DOI: 10.1016/j.jaccas.2020.12.033
• PMID: 34317581
• 文章类型: Case Reports
• 作者列表: Chau E,Li S,Xu PZ,Li GX,Ghasem W,Weitz IC,DeClerck BK,DePasquale EC,Yaghmour B

关键词: ADAMTS13, ADAM metallopeptidase with thrombospondin type 1 motif 13; COVID-19, coronavirus disease-2019; CRRT, continuous renal replacement therapy; HIT, heparin-induced thrombocytopenia; LV, left ventricular; STEMI, ST-segment elevation myocardial infarction; aHUS, atypical hemolytic uremic syndrome; acute heart failure; autoimmune; cardiovascular disease; myocardial infarction

Abstract

A young woman presented with an acute ST-segment elevation myocardial infarction. Her clinical course was complicated by cardiogenic shock and acute renal failure. Work-up revealed thrombocytopenia and hemolytic anemia. A diagnosis of atypical hemolytic-uremic syndrome was made on the basis of clinical and pathological findings. (Level of Difficulty: Intermediate.).

摘要

一名年轻女性出现急性ST段抬高型心肌梗死。她的临床过程并发心源性休克和急性肾功能衰竭。检查显示血小板减少和溶血性贫血。根据临床和病理结果诊断为非典型溶血性尿毒综合征。（难度等级：中级。).