Acute ST-Segment Elevation Myocardial Infarction during Stress Testing: First Presentation of an Undiagnosed Case of Essential Thrombocytemia

Juan Carrillo Navas (1) , Jonathan Rodríguez (2) , Angel López Candales (3) , Edgardo I Santiago Guzman (4)
(1) Cardiovascular Medicine Division, University of Puerto Rico School of Medicine, San Juan, Puerto Rico , Puerto Rico
(2) , Puerto Rico
(3) , Puerto Rico
(4) , Puerto Rico

Abstract

Essential thrombocythemia (ET), a myeloid stem cell clonal disorder, can clinically present with variable manifestations including vasomotor symptoms, hemorrhage or thrombotic events.  Acute coronary syndromes specifically ST-segment elevation myocardial infarction (STEMI) is an uncommon event in ET patients. We report the case of a 43-year-old male presenting with a STEMI while performing a routine exercise stress test requested for atypical chest pain evaluation. Urgent coronary angiography demonstrated total occlusion of proximal right coronary artery that was successfully treated with percutaneous coronary angioplasty and stent deployment without adverse events or complications

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Authors

Juan Carrillo Navas
jecnavasmd@gmail.com (Primary Contact)
Jonathan Rodríguez
Angel López Candales
Edgardo I Santiago Guzman
Navas, J. C. ., Rodríguez, J. ., Candales, A. L., & Guzman, E. I. S. . (2022). Acute ST-Segment Elevation Myocardial Infarction during Stress Testing: First Presentation of an Undiagnosed Case of Essential Thrombocytemia. Journal of Medical Case Reports and Reviews, 1(06). Retrieved from https://jmcrr.info/index.php/jmcrr/article/view/17
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