The Korean Journal of Internal Medicine

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Original Article
Korean J Med. 2008;75(1):108-111.
증례 : 항인지질 증후군 환자에서 발생한 급성 심근경색증 1예
최현숙.김은선.민정요.강경미.김지훈.유기동.김철민, , , , , ,
A case of myocardial infarction with antiphospholipid syndrome
Hyun Sook Choi, Eun Sun Kim, Jeong Yo Min, Kyung Mi Kang, Ji Hoon Kim, Ki Dong Yoo, Chul Min Kim
경희대학교 의과대학 순환기내과학교실


Abstract
Antiphospholipid syndrome is a multi-system disorder characterized by arterial or venous thromboses and antiphospholipid antibodies, such as lupus anticoagulant or anticardiolipin antibodies. Most common clinical manifestations are recurrent pregnancy losses and deep vein thromboses. Cardiac manifestations in antiphospholipid syndrome include valve abnormalities, occlusive arterial disease, intracardiac emboli, and ventricular dysfunction. Acute myocardial infarction is a rare manifestation of the primary antiphospholipid syndrome. We have experienced a case of myocardial infarction with antiphospholipid syndrome. A 35-year-old man with no cardiovascular risk factors, other than smoking, presented with chest pain. He was diagnosed with an acute myocardial infarction. Our evaluation for coagulapathy revealed elevated lupus anticoagulant antibody. The antiphospholipid syndrome should be considered early in the differential diagnosis as an important cause of unexplained thrombosis in young patients. (Korean J Med 75:108-111, 2008) Key Words : Antiphospholipid syndrome; Myocardial infarction; Lupus anticoagulant

Keywords :Antiphospholipid syndrome, Myocardial infarction, Lupus anticoagulant
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