Thrombocytopenia is among the most frequent haematological issues in patients hospitalised with myocardial infarction. We discuss the case of a 77-year-old male who was admitted to hospital on the 4th hour of ST-elevation myocardial infarction of the anterior wall. A percutaneous coronary intervention to critically stenoted initial segment of the anterior descending branch was performed. A few days later he started developing symptomatic thrombocytopenia. On the course of his long hospitalization we faced many important problems, concerning both diagnosis and treatment of these co-existing conditions.
Primary tumours of the heart are extremely rare. Sarcomas are considered to be the most frequent histological type. This study presents two cases with a two-week and two-month history of fatigue, fever and shortness of breath. In both cases, cardiac tumours with pericardial effusion were diagnosed by means of echocardiography, being responsible for the above-mentioned symptoms. At the beginning of the diagnostic process, sarcomas seemed to be the likeliest cause of these symptoms. Establishment of the histopathological diagnosis based on the tumour biopsy turned out to be very difficult, and this delayed further therapeutic procedures.
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