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Vol. 32. Issue 3.
Pages 126-128 (May - June 2020)
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Vol. 32. Issue 3.
Pages 126-128 (May - June 2020)
Clinical report
Acute coronary syndrome as the first manifestation of essential thrombocythaemia: A challenge for cardiologists
Síndrome coronario agudo como primera manifestación de trombocitemia esencial: un reto para los cardiólogos
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Francisco Javier Garcipérez de Vargasa,
Corresponding author
fj.garci@hotmail.com

Corresponding author.
, María Antonia Ramírez Arizab, Pablo Sánchez Calderóna, Pedro Mellado Delgadoa, Pablo García Garcíaa, José Javier Gómez Barradoc
a Servicio de Cardiología, Hospital Don Benito-Villanueva de la Serena, Don Benito, Badajoz, Spain
b Medicina Familiar y Comunitaria, Unidad Docente de Don Benito, Don Benito, Badajoz, Spain
c Servicio de Cardiología, Complejo Hospitalario Universitario de Cáceres, Hospital San Pedro de Alcántara, Cáceres, Spain
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Abstract

We present the case is presented of an acute coronary syndrome in a 30-year-old patient with essential thrombocythaemia. Acute coronary syndromes occur in 9% of cases in these patients, and their management constitutes a challenge for the cardiologist, specifically in terms of choosing the most appropriate antiplatelet therapy and its duration, taking into account that these patients have a high thrombotic risk, as well as a considerable haemorrhagic risk.

Keywords:
Acute coronary syndrome
Antiplatelet therapy
Essential thrombocytemia
Resumen

Presentamos el caso de un síndrome coronario agudo en un paciente de 30 años con trombocitemia esencial. Los síndromes coronarios agudos ocurren en el 9% de los casos en estos pacientes, y su manejo constituye todo un reto para el cardiólogo, en concreto, en cuanto a la elección del tratamiento antiagregante más adecuado y su duración, considerando que estos pacientes tienen por una parte un elevado riesgo trombótico y, además, un riesgo hemorrágico no despreciable.

Palabras clave:
Síndrome coronario agudo
Tratamiento antiagregante
Trombocitemia esencial

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