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Symptoms of nephrotic syndrome, such as facial and peripheral edema accompanied by proteinuria and hyperlipidemia, and onset of severe retrosternal pain developed within 24 h. Coronary angiography revealed a complete thrombotic occlusion of the proximal portion of the left anterior descending artery with no evidence of arteriosclerotic lesions. Histologic examination of renal biopsy, including electron microscopy, revealed evidence of minimal change glomerulonephritis. Ultrastructural studies demonstrated widespread effacement of epithelial foot processes. Elevated levels of circulating fibrinogen appeared to be an important factor for the hypercoagulable state in this patient, suggesting a causative relationship between coronary thrombosis and nephrotic syndrome.<\/jats:p>","DOI":"10.1002\/clc.4960210713","type":"journal-article","created":{"date-parts":[[2009,2,4]],"date-time":"2009-02-04T01:31:01Z","timestamp":1233711061000},"page":"519-522","source":"Crossref","is-referenced-by-count":9,"title":["Simultaneous manifestation of acute myocardial infarction and nephrotic syndrome"],"prefix":"10.1002","volume":"21","author":[{"given":"Thomas","family":"Meyer","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Friederike","family":"Schulze","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Heinrich","family":"Kreuzer","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hermann\u2010Josef","family":"Grone","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2009,2,3]]},"reference":[{"key":"e_1_2_1_2_2","doi-asserted-by":"publisher","DOI":"10.1007\/BF01476873"},{"key":"e_1_2_1_3_2","doi-asserted-by":"publisher","DOI":"10.1203\/00006450-197411000-00049"},{"key":"e_1_2_1_4_2","doi-asserted-by":"publisher","DOI":"10.1159\/000188426"},{"key":"e_1_2_1_5_2","doi-asserted-by":"publisher","DOI":"10.1007\/BF00866337"},{"key":"e_1_2_1_6_2","first-page":"1080","article-title":"Thrombotische Komplikationen beim nephrotischen Syndrom","volume":"1019","author":"Keusch G","year":"1989","journal-title":"Schweiz Med Wschr"},{"key":"e_1_2_1_7_2","doi-asserted-by":"publisher","DOI":"10.1159\/000188680"},{"key":"e_1_2_1_8_2","doi-asserted-by":"crossref","first-page":"111","DOI":"10.1080\/00325481.1984.11698782","article-title":"Thrornboembolic complications in nephrotic syndrome. 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