Acute myocardial infarction in a young woman with ulcerative colitis

Zhang, Yong; Hao, Xuezeng; Zheng, Xiangying; Zhao, Huaibing; Zhang, Wei; Zhang, Lijing

doi:10.1097/md.0000000000008885

Cited by 7 publications

(4 citation statements)

References 20 publications

(20 reference statements)

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“…Almost all suffered from an acute flare of IBD. Coronary arteries were non-obstructive and non-stenotic in the majority of cases, and there was evidence of myocardial infarction due to non-atherosclerotic coronary thrombosis [ 6 – 8 ]. Acute myocardial infarction and acute lower gastrointestinal bleeding were present at the same time [ 7 , 8 ].…”

Section: Discussionmentioning

confidence: 99%

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Myocardial infarction in a 33-year-old with inflammatory bowel disease: a case report

Bengel,

Müller-Gastell,

Al-Najjar

et al. 2023

BMC Cardiovasc Disord

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Background ST elevation myocardial infarction is defined as acute myocardial injury with necrosis due to myocardial ischemia. The frequent cause is thrombotic occlusion of atherosclerotic coronary arteries. In particular situations, thromboembolism can cause myocardial infarction in patients with normal coronary arteries. Case presentation We report a particular case of myocardial infarction in a young, previously healthy patient with non-atherosclerotic coronary arteries and inflammatory bowel disease. Although we performed an extensive work up, no clear pathophysiological cause could be diagnosed. Most likely, myocardial infarction was associated with a hypercoagulative state related to systemic inflammation. Conclusion The mechanisms of coagulation disturbances in the context of acute and chronic inflammation are not yet fully understood. A better understanding of cardiovascular events in patients with inflammatory bowel disease might lead to new treatment approaches of cardiovascular disease.

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Section: Discussionmentioning

confidence: 99%

“…A link is thought to exist between inflammatory diseases and acute coronary syndromes [ 3 – 5 ]. Only few reports have been discussing cardiovascular events in young patients with inflammatory bowel disease (IBD) [ 6 – 8 ], and comprehensive pathophysiological explanations are usually not available.…”

Section: Introductionmentioning

confidence: 99%

Myocardial infarction in a 33-year-old with inflammatory bowel disease: a case report

Bengel,

Müller-Gastell,

Al-Najjar

et al. 2023

BMC Cardiovasc Disord

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“…Case reports of Hyon He and Yong Zhang also support the same. (9,10) Corticosteroids may also have some prothrombotic effects. It remains controversial whether corticosteroids may add risk to coronary artery disease in IBD patients.…”

Section: Discussionmentioning

confidence: 99%

Acute myocardial infarction complicating acute ulcerative colitis: A clinical conundrum

Nemalidinne,

Vanteru,

Goel

et al. 2023

Preprint

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“…Ulcerative colitis (UC) has been implicated as a risk factor for ATE and VTE. [9][10][11][12][13][14][15] Specifically, patients have a 3fold increased risk of deep vein thrombosis (DVT) and pulmonary embolism (PE) compared to the general population. 15 There are a number of case reports describing spontaneous thromboembolism in the upper extremity in the setting of UC.…”

Section: Effects Of Ulcerative Colitis and Inflammatory Conditions On...mentioning

confidence: 99%

Digit Necrosis After Hand Surgery in Pregnancy: A Case Report

Ziolkowski

Dengler

Goldberg

2021

Plastic Surgery Case Studies

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Digital blocks are routinely used for excision of lesions. We describe a unique presentation of digit necrosis after excisional biopsy with digital block and finger tourniquet in a pregnant patient with a history of ulcerative colitis. The patient had a history of a long-standing painful dorsal PIP joint mass and was scheduled for excision under local anaesthetic. On the day of the procedure, she disclosed that she was pregnant in the second trimester. After extensive discussion of risks and benefits between the patient and the surgeon, the decision was made to proceed with an excisional biopsy of the lesion because of its impact on her quality of life. Twelve hours after the procedure, she presented to the emergency department with blistering and severe pain to the digit. Doppler ultrasound showed flow through both digital arteries and the digit appeared viable. Over the coming days her pain continued to worsen and on post-operative day 3, she was admitted to hospital for attempted salvage of the digit using conservative methods. Her digit went on to demarcate at the level of the middle phalanx. Five weeks after her initial procedure, the patient underwent partial amputation of the small finger at the level of the DIP joint and 2-stage groin flap for soft tissue coverage. We discuss the effects of pregnancy and ulcerative colitis on thromboembolic events, and review the literature on digital blocks, digital tourniquet use and management of early digit necrosis. This case highlights the importance of delaying elective hand procedures in pregnant patients, especially if they have additional comorbidities such as pro-thrombotic diseases like inflammatory bowel disease.

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Acute myocardial infarction in a young woman with ulcerative colitis

Cited by 7 publications

References 20 publications

Myocardial infarction in a 33-year-old with inflammatory bowel disease: a case report

Myocardial infarction in a 33-year-old with inflammatory bowel disease: a case report

Acute myocardial infarction complicating acute ulcerative colitis: A clinical conundrum

Digit Necrosis After Hand Surgery in Pregnancy: A Case Report

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