Acute Coronary Syndrome Due to Intraplaque Hemorrhage in a Post-gastrectomy Patient with a Latent Severe Glycemic Disorder

被引：0

作者：

Yamamoto, Hiroyuki ^{[1
,2
]}

Takaya, Tomofumi ^{[1
,2
,3
]}

Emoto, Takuo ^{[4
]}

Takeda, Shintaro ^{[4
]}

Yoshida, Naofumi ^{[4
]}

Sawada, Takahiro ^{[1
]}

Yamashita, Tomoya ^{[4
]}

Hirata, Ken-ichi ^{[4
]}

Kawai, Hiroya ^{[1
,2
,3
]}

机构：

[1] Hyogo Brain & Heart Ctr, Div Cardiovasc Med, Himeji, Japan

[2] Hyogo Prefectural Harima Himeji Gen Med Ctr, Div Cardiovasc Med, Himeji, Japan

[3] Kobe Univ, Div Exploratory & Adv Search Cardiol, Grad Sch Med, Kobe, Japan

[4] Kobe Univ, Dept Internal Med, Div Cardiovasc Med, Grad Sch Med, Kobe, Japan

来源：

INTERNAL MEDICINE | 2023年 / 62卷 / 03期

关键词：

acute coronary syndrome; directional coronary atherectomy; flush glucose monitoring; glucose fluctuation; hypoglycemia; intraplaque hemorrhage; ENDOTHELIAL-CELLS; GLUCOSE;

D O I：

10.2169/internalmedicine.9816-22

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Glycemic disorders involving large glucose fluctuations and recurrent hypoglycemia may lead to adverse cardiovascular events, including acute coronary syndrome (ACS). Flash glucose monitoring (FGM) has re-portedly been useful for detecting latent glycemic disorders. However, only a few studies have so far reported latent glycemic disorders in coronary artery disease. Thus, we herein present a unique case of ACS due to in-traplaque hemorrhage in a post-gastrectomy patient who had no apparent coronary risk, except for a latent se-vere glycemic disorder detected via FGM. This masked etiology should be considered in ACS patients who have no apparent cardiovascular risks in order to improve their cardiovascular outcomes.

引用

页码：399 / 403

页数：5

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