Vol 66, No 9 (2008)
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Published online: 2008-09-30

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Case report
Thrombotic thrombocytopenic purpura with myocardial ischaemia: two case reports

Miłosz Jankowski, Jan Sznajd, Wojciech Szczeklik, Paweł Maga, Wojciech Węgrzyn, Wiesław Królikowski, Rafał Niżankowski, Andrzej Szczeklik
DOI: 10.33963/v.kp.80410
Kardiol Pol 2008;66(9):966-968.

Abstract

Thrombotic thrombocytopenic purpura (TTP) is mainly perceived by cardiologists as a rare complication of ticlopidine or clopidogrel treatment. However, this life-threatening disease is provoked not only by antiplatelet drugs and may lead to myocardial ischaemia and necrosis caused by microvascular thrombosis and anaemia. We present two thienopiridine-naive patients who had acquired TTP and myocardial ischaemia, and were successfully treated by plasma exchanges.

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Polish Heart Journal (Kardiologia Polska)