Case Report
Copyright ©The Author(s) 2022. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Jul 26, 2022; 10(21): 7422-7428
Published online Jul 26, 2022. doi: 10.12998/wjcc.v10.i21.7422
Essential thrombocythemia with non-ST-segment elevation myocardial infarction as the first manifestation: A case report
Zhi-Ming Wang, Wei-Hai Chen, Yan-Ming Wu, Lin-Quan Wang, Fu-Long Ye, Ren-Lin Yin
Zhi-Ming Wang, Wei-Hai Chen, Yan-Ming Wu, Lin-Quan Wang, Fu-Long Ye, Ren-Lin Yin, Department of Cardiology, Suzhou Ninth People's Hospital, Soochow University, Suzhou 215200, Jiangsu Province, China
Author contributions: Wang ZM and Yin RL contributed to the conceptualization of the study; Wang LQ and Ye FL contributed to the methodology; Chen WH and Wu YM contributed to the formal analysis and data curation; Wang ZM contributed to the writing-original draft preparation; Yin RL provided supervision; all authors have read and agreed to the published version of the manuscript.
Informed consent statement: Study participant provided informed written consent prior to study enrollment.
Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Ren-Lin Yin, MD, Chief Doctor, Department of Cardiology, Suzhou Ninth People's Hospital, Soochow University, No. 2666 Ludang Road, Wujiang District, Suzhou 215000, Jiangsu Province, China. y13776080241@163.com
Received: September 29, 2021
Peer-review started: September 29, 2021
First decision: November 11, 2021
Revised: November 24, 2021
Accepted: June 16, 2022
Article in press: June 16, 2022
Published online: July 26, 2022
Processing time: 284 Days and 18.8 Hours
Core Tip

Core Tip: The emergency interventional treatment plan for acute myocardial infarction (AMI) caused by essential thrombocythemia is generally the same as that for AMI, and if conditions permit, intravenous ultrasound can provide imaging guidance for stent implantation. Taking aspirin to prevent the number of platelet (PLT) aggregation is very important, and conventional anticoagulation therapy is not recommended. For patients with significantly elevated PLT counts, achieving bone marrow suppression and control of PLT counts are also very important. The ideal target number of PLTs should be below 400 × 109/L.