Acute coronary syndrome in patients with concomitant neoplastic disease and chemotherapy. Is clinical distinctness possible?

• Authors: Andrzej Ciszewski , Maciej Dąbrowski , Maciej Bęćkowski
• Languages of publication: EN

Abstracts

EN

We present 2 cases of acute coronary syndrome in patients with concomitant neoplastic disease during chemotherapy. In both patients, we found unusual angiographic image which showed that despite the presence of very large thrombi, there were no or hardly any atherosclerotic lesions in the vessel occlusion site. Aspiration thrombectomy was successfully performed in both cases to restore coronary flow and in the second patient, two bare metal stents were also implanted. After the patients were discharged from hospital, we decided to add enoxaparin to the routine dual antiplatelet therapy of both of them. So far, no guidelines have been developed on how to manage patients with acute coronary syndrome and concomitant neoplastic diseases while on chemotherapy.

Keywords

EN

acute coronary syndrome; chemotherapy; coronary thrombosis; endothelial dysfunction

Discipline

• MEDICINE: MEDICINE

• Publisher: Medical Education
• Journal: OncoReview
• Year: 2015
• Volume: 5
• Issue: 3
• Pages: A100-102

Contributors

author

Andrzej Ciszewski

• Department of Invasive Cardiology , Institute of Cardiology, Warsaw, Poland

author

Maciej Dąbrowski

• Department of Inter ventional Cardiology and Angiology, Institute of Cardiology, Warsaw, Poland

author

Maciej Bęćkowski

• 2nd Department of Coronar y Artery Disease, Institute of Cardiology , Warsaw, Poland

References

• 1. Windecker S, Kohl P, Alfonso F et al. 2014 ESC/EACTS Guidelines on myocardial revascularization. The Task Force on Myocardial Revascularization of the European Society of Cardiology (ESC) and the European Association for Cardio-Thoracic Surgery (EACTS). Eur Heart J 2014; 35(37): 2497-2503.
• 2. Steg PG, James SK, Atar D et al. ESC Guidelines for the management of acute myocardial infarction in patients presenting with ST-segment elevation. Eur Heart J 2012; 33: 2569-2619.

• Document Type: article