{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T11:50:33Z","timestamp":1753876233989,"version":"3.41.2"},"reference-count":10,"publisher":"Oxford University Press (OUP)","issue":"7","license":[{"start":{"date-parts":[[2024,7,11]],"date-time":"2024-07-11T00:00:00Z","timestamp":1720656000000},"content-version":"vor","delay-in-days":10,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2024,7,2]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Background<\/jats:title>\n                  <jats:p>Myocardial infarction (MI) in a patient with immune thrombocytopenia is a rare scenario which is very challenging to manage.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Case summary<\/jats:title>\n                  <jats:p>We present a rare case of a patient with immune thrombocytopenic purpura who developed double territory segment-elevation MI with cardiogenic shock. She had an extremely rare presentation with a fresh mobile thrombus in the aortic root which was trap-dooring the right coronary artery ostium and extending into the artery with an embolism into the distal left anterior descending artery. We managed this patient conservatively with excellent recovery owing to the dangerous location of the hanging thrombus, and severe thrombocytopenia.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusions<\/jats:title>\n                  <jats:p>Multidisciplinary approach is required for the management of MI in patients with pre-existing blood disorders, with therapy tailored to the patient's presentation and treatment requirements.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/ehjcr\/ytae345","type":"journal-article","created":{"date-parts":[[2024,7,11]],"date-time":"2024-07-11T07:58:00Z","timestamp":1720684680000},"source":"Crossref","is-referenced-by-count":0,"title":["Double-territory STEMI with cardiogenic shock in immune thrombocytopenic purpura with severe thrombocytopenia\u2014a case report"],"prefix":"10.1093","volume":"8","author":[{"given":"Yerramareddy","family":"Vijayachandra","sequence":"first","affiliation":[{"name":"Cardiology Division, Apollo Heart Institute, Apollo Hospitals, Chennai, Tamil Nadu, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Antony","family":"Wilson","sequence":"additional","affiliation":[{"name":"Cardiology Division, Apollo Heart Institute, Apollo Hospitals, Chennai, Tamil Nadu, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jayalakshmi","family":"Sreeram","sequence":"additional","affiliation":[{"name":"Cardiology Division, Apollo Heart Institute, Apollo Hospitals, Chennai, Tamil Nadu, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8305-7744","authenticated-orcid":false,"given":"Aishwarya","family":"Mahesh Kumar","sequence":"additional","affiliation":[{"name":"Department of Medical Services, Apollo Hospitals , 21, Greams Lane, Off Greams Road, Thousand Lights, Chennai, Tamil Nadu 600006 , India"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2024,7,11]]},"reference":[{"key":"2024092409092026100_ytae345-B1","first-page":"273","article-title":"Idiopathic thrombocytopenic purpura (ITP)\u2014new era for an old disease","volume":"57","author":"Onis\u00e2i","year":"2019","journal-title":"Rom J Intern Med"},{"key":"2024092409092026100_ytae345-B2","doi-asserted-by":"crossref","first-page":"1327","DOI":"10.2217\/fca-2020-0183","article-title":"The presence of idiopathic thrombocytopenic purpura correlates with lower rate of acute ST-elevation myocardial infarction","volume":"17","author":"Davis","year":"2021","journal-title":"Future Cardiol"},{"key":"2024092409092026100_ytae345-B3","doi-asserted-by":"crossref","first-page":"3829","DOI":"10.1182\/bloodadvances.2019000966","article-title":"American Society of Hematology 2019 Guidelines for immune thrombocytopenia","volume":"3","author":"Neunert","year":"2019","journal-title":"Blood Adv."},{"key":"2024092409092026100_ytae345-B4","doi-asserted-by":"crossref","first-page":"822","DOI":"10.1111\/bjh.17390","article-title":"Thrombosis in immune thrombocytopenia. Current status and future perspectives","volume":"194","author":"Swan","year":"2021","journal-title":"Br J Haematol"},{"key":"2024092409092026100_ytae345-B5","first-page":"42","article-title":"Acute ST elevation myocardial infarction in patients with immune thrombocytopenia Purpura: a case report","volume":"2","author":"Dhillon","year":"2011","journal-title":"Cardiol Res"},{"key":"2024092409092026100_ytae345-B6","first-page":"30151","article-title":"Management of immune thrombocytic purpura and acute coronary syndrome: a double-edged sword!","volume":"S1109\u20139666","author":"Shah","year":"2016","journal-title":"Hellenic J Cardiol"},{"key":"2024092409092026100_ytae345-B7","doi-asserted-by":"crossref","first-page":"436","DOI":"10.1016\/S1726-4901(09)70287-4","article-title":"Coronary revascularization in a patient with immune thrombocytopenic purpura","volume":"69","author":"Fong","year":"2006","journal-title":"J Chin Med Assoc"},{"key":"2024092409092026100_ytae345-B8","doi-asserted-by":"crossref","first-page":"56","DOI":"10.1016\/j.recesp.2016.06.016","article-title":"Management of primary immune thrombocytopenia with eltrombopag in a patient with recent acute coronary syndrome","volume":"70","author":"Bermejo","year":"2017","journal-title":"Rev Esp Cardiol (Engl Ed)"},{"key":"2024092409092026100_ytae345-B9","first-page":"210","article-title":"Outcomes of hospitalized patients with myocardial infarction and immune thrombocytopenic purpura: a cross sectional study over 15 years","volume":"10","author":"Patel","year":"2020","journal-title":"Am J Blood Res"},{"key":"2024092409092026100_ytae345-B10","first-page":"e30279","article-title":"Immune thrombocytopenic Purpura and paradoxical thrombosis: a systematic review of case reports","volume":"14","author":"Ali","year":"2022","journal-title":"Cureus"}],"container-title":["European Heart Journal - Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/ehjcr\/advance-article-pdf\/doi\/10.1093\/ehjcr\/ytae345\/58501477\/ytae345.pdf","content-type":"application\/pdf","content-version":"am","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/ehjcr\/article-pdf\/8\/7\/ytae345\/59278894\/ytae345.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/ehjcr\/article-pdf\/8\/7\/ytae345\/59278894\/ytae345.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,9,24]],"date-time":"2024-09-24T09:10:58Z","timestamp":1727169058000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/ehjcr\/article\/doi\/10.1093\/ehjcr\/ytae345\/7710857"}},"subtitle":[],"editor":[{"given":"Antonios","family":"Karanasos","sequence":"additional","affiliation":[],"role":[{"role":"editor","vocabulary":"crossref"}]},{"given":"Sumit","family":"Sohal","sequence":"additional","affiliation":[],"role":[{"role":"editor","vocabulary":"crossref"}]},{"given":"Maria","family":"Mattioli","sequence":"additional","affiliation":[],"role":[{"role":"editor","vocabulary":"crossref"}]},{"given":"Emmanouil","family":"Mantzouranis","sequence":"additional","affiliation":[],"role":[{"role":"editor","vocabulary":"crossref"}]}],"short-title":[],"issued":{"date-parts":[[2024,7]]},"references-count":10,"journal-issue":{"issue":"7","published-print":{"date-parts":[[2024,7,2]]}},"URL":"https:\/\/doi.org\/10.1093\/ehjcr\/ytae345","relation":{},"ISSN":["2514-2119"],"issn-type":[{"type":"electronic","value":"2514-2119"}],"subject":[],"published-other":{"date-parts":[[2024,7]]},"published":{"date-parts":[[2024,7]]},"article-number":"ytae345"}}