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All Journal Interaksi Online Journal of Politic and Government Studies Heart Science Journal JUSTIN (Jurnal Sistem dan Teknologi Informasi)
Indra Prasetya
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Arts Humanities Computer Science & IT Health Professions Immunology & microbiology Library & Information Science Medicine & Pharmacology Social Sciences

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Journal : Heart Science Journal

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Acute ST elevation myocardial infarction (STEMI) in Young Male with Nephrotic Syndrome: A case report Ratna Pancasari; Cholid Tri Tjahjono; Anna Fuji Rahimah; Indra Prasetya
Heart Science Journal Vol 2, No 3 (2021): The Science and Art of Myocardial Revascularization
Publisher : Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/ub.hsj.2021.002.03.6

Abstract

Background: In young males, an acute myocardial infarction is an uncommon event. Thrombolism caused by nephrotic syndrome (NS) is one of the pathophysiologies of their infarctions.Case Illustration: A-24-y.o male patient, presenting with prolong typical chest pain since 72 hours before admission. The chest leads on an electrocardiogram (ECG) indicated ST-Elevation. Cardiac troponin was significantly raised. Since the previous two weeks, he has been experiencing nephrotic syndrome symptoms including anasarca edema.It was supported by laboratory data which is obtained proteinuria, hyperlipidemia and hypoalbuminemia. A complete acute occlusion of the proximal portion of the left anterior descending artery was revealed by coronary angiography. Increased fibrinogen levels appeared to be a contributing factor for hypercoagulable state in this patient, implying a correlation between coronary thrombosis and nephrotic syndrome.Discussion: Myocardial infarction (MI) is rare in young males, but it occurs 8 times more often in patients with NS than in the general population. Clinicians should pay closer attention to the history of previous diseases with a high risk of thromboembolism in young patients with MI, and they should specifically promote thromboembolism prevention and care in patients with renal disease to decrease the incidence of thromboembolism complications.Conclusion: Nephrotic syndrome should be considered as a contributing factor in any patient presenting with acute STEMI, particularly in young males.
Co-Authors Agung Sasongko Anna Fuji Rahimah Cholid Tri Tjahjono Dilla Maulida Dyah Puspita Saraswati firmansyah, Yoki Hedi Pudjo Santosa Kushandajani . Muhammad Sony Maulana Primada Qurrota Ayun Priyatno Harsasto Ratna Pancasari Wanty Eka Jayanti, Wanty Eka