en POLSKI
eISSN: 2299-8284
ISSN: 1233-9989
Nursing Problems / Problemy Pielęgniarstwa
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3/2023
vol. 31
 
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abstract:
Case report

Severe thrombocytopaenia in a patient after acute myocardial infarction with influenza

Katarzyna Barwinek
1
,
Joanna Dziurzyńska
1
,
Aleksandra Błaszczyk
1

  1. Collegium Medicum, Jan Kochanowski University of Kielce, Poland
Nursing Problems 2023; 31 (3): 148-152
Online publish date: 2023/12/06
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This paper presents the case of 59-year-old patient who presented to the clinic with weakness, shortness of breath at rest, fever, and dry cough. Based on laboratory tests and physical examination, the patient was diagnosed with pneumonia. On the third day of hospitalization the patient presented resting, burning pain in the chest. Electrocardiogram (ECG) showed signs of STEMI. The percutaneous coronary intervention (PCI) attempt was not therapeutically successful, and the patient received heparin. Progressive thrombocytopaenia was found after myocardial infarction. Based on this, an assumption of heparin-induced thrombocytopaenia was made. Any clinical suspicion of heparin-induced thrombocytopaenia requires that treatment should not be withheld pending the result. This paper pays attention to this problem.
keywords:

thrombocytopaenia, heparin, acute myocardial infarction, heparin-induced thrombocytopaenia

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