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Korean J Med > Volume 88(2); 2015 > Article
The Korean Journal of Medicine 2015;88(2): 192-196.
급성 심근경색으로 진단된 진성 적혈구 증가증 1예
김지혜, 김혜미, 이학승, 정지현, 서정원
서울대학교 의과대학 내과학교실 순환기내과
A Case of Polycythemia Vera Presenting as an ST-Elevation Myocardial Infarction
Chee Hae Kim, Hyue Mee Kim, Hak Seung Lee, Ji Hyun Jung, Jung Won Suh
Division of Cardiology, Department of Internal Medicine, Seoul National University College of Medicine, Seoul, Korea
Corresponding Author: Jung Won Suh ,Tel: +82-31-787-7016, Fax: +82-31-787-4051, Email: suhjw1@gmail.com
Received: December 2, 2013;   Revised: March 9, 2014;   Accepted: June 20, 2014.
This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted noncommercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
ABSTRACT
Traditional risk factors for acute myocardial infarction are hypertension, diabetes, dyslipidemia, smoking, and a family history of coronary heart disease. Most acute myocardial infarction patients have at least one of these risk factors. Polycythemia vera is a rare etiological factor for acute myocardial infarction. Polycythemia vera leads to hyperviscous milieu of the blood and increased platelet activity, which increases the chance of thrombotic occlusion of coronary arteries. In this article we report a rare case of polycythemia vera presenting as an ST-elevation myocardial infarction without any traditional risk factors for cardiovascular disease.
Keywords: Polycythemia vera; Myocardial infarction
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