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
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
收藏
页码:399 / 403
页数:5
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