2012
DOI: 10.1155/2012/784128
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Acute Myocardial Infarction Caused by Filgrastim: A Case Report

Abstract: Common uses of the granulocyte-colony stimulating factors in the clinical practice raise the concern about side effects of these agents. We presented a case report about an acute myocardial infarction with non-ST segment elevation during filgrastim administration. A 73-year-old man had squamous cell carcinoma of larynx with lung metastasis treated with the chemotherapy. Second day after the filgrastim, patient had a chest discomfort. An ECG was performed and showed an ST segment depression and negative T waves… Show more

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Cited by 2 publications
(1 citation statement)
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“…To our knowledge, this is the first study to report a lowering of PAI-1 through the use of GCSF. Previous case reports have pointed to potential hypercoagulability following GCSF utilization [ 53 , 54 ]. However, GCSF administration in patients with acute myocardial infarction, which resembles our modeled acute limb ischemia, did not alter the coagulation and platelet activation parameters [ 55 ].…”
Section: Discussionmentioning
confidence: 99%
“…To our knowledge, this is the first study to report a lowering of PAI-1 through the use of GCSF. Previous case reports have pointed to potential hypercoagulability following GCSF utilization [ 53 , 54 ]. However, GCSF administration in patients with acute myocardial infarction, which resembles our modeled acute limb ischemia, did not alter the coagulation and platelet activation parameters [ 55 ].…”
Section: Discussionmentioning
confidence: 99%