Reactive thrombocytosis leading to acute myocardial infarction
Aundhakar, S.C.; Mahajan, S.K.; Mane, M.B.; Lakhotiya, A.N.
Journal of the Association of Physicians of India 61(10): 745-747
2013
ISSN/ISBN: 0004-5772 PMID: 24772734 Document Number: 667837
Thrombocytosis is defined as platelet count of > 600000. An elevated platelet count may be primarily (essential) or secondary (reactive). Acute myocardial infarction and other vaso-occlusive phenomenon are seen in less than 5% of the patients of reactive thrombocytosis. Here we report such a case. A 49 yr old lady presented with chest pain and had isolated right ventricular infarction that progressed to anteroseptal wall STEMI. Her platelet count was 11 lac; the triggering factor in this case was reactive thrombocytosis secondary to lower respiratory tract infection and iron-deficiency anaemia confirmed after investigations. The clinical diagnosis was confirmed through IL6 levels. The patient was managed aggressively in ICCU, she had an uneventful recovery and was discharged with a normal platelet count.