An unusual culprit: simple angioplasty for a complex disease
Shrestha, N.R.; Karki, S.; Mainali, U.
Journal of Invasive Cardiology 25(12): 687-689
2013
ISSN/ISBN: 1557-2501 PMID: 24296392 Document Number: 669291
We present the case of an atypical presentation of myelofibrosis presenting with acute inferior-wall ST-elevation myocardial infarction. Besides cigarette smoking, the patient had no known traditional cardiovascular risk factors like diabetes, hypertension, or a sedentary lifestyle. He, however, had a hypercoagulable state due to a myeloproliferative neoplasm. This demonstrates that the typical presentation of a common emergency condition may involve more complex underlying illness, which when identified, may change the approach to the management of the patient for a more optimal outcome.