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Myocardial Infarction Type 4b in Human Immunodeficiency Virus-Infected Patient
Aneta Cybula-Walczak,Filip M. Szymanski,Anna E. Platek,Grzegorz Karpinski 대한심장학회 2014 Korean Circulation Journal Vol.44 No.1
We report a case of a 52-year-old human immunodeficiency virus (HIV)-infected male patient receiving combined antiretroviral therapy(cART), who presented with acute ST-elevation myocardial infarction (STEMI). He was properly treated (e.g., prescribed anti-coagulationdrugs: aspirin, clopidogrel, enoxaparin) and discharged. After 1.5 months, another STEMI related with in-stent thrombosis took place. ThecART scheme was altered, resulting in no further cardiac events in the follow-up period, with undetectable levels of HIV ribonucleic acid. This case highlights the association between HIV infection and the specific drugs of cART, and the risk of cardiovascular disease develop -ment.