[Ischemic heart failure making the diagnosis of a Vaquez disease: a rare event]

Ann Fr Anesth Reanim. 2014 Jun;33(6):427-9. doi: 10.1016/j.annfar.2014.05.001. Epub 2014 Jun 18.
[Article in French]

Abstract

We present the case of a 46-year-old patient without any past medical history, admitted to our ICU for cardiogenic shock complicating acute coronary syndrome. The blood tests found polycethemia, a polycethemia vera was suspected and confirmed by genetic analysis. Ischemic heart failure as an initial symptom of polycethemia vera and its treatment by arterial bleeding is a rare event that we describe in this article.

Keywords: Acute coronary syndrome; Acute heart shock; Choc cardiogénique; Maladie de Vaquez; Polycethemia; Polycethemia vera; Polyglobulie; Saignées sanguines thérapeutiques; Syndrome coronarien aigu; Therapeutic bleeding.

Publication types

  • Case Reports

MeSH terms

  • Critical Care
  • Echocardiography, Stress
  • Electrocardiography
  • Humans
  • Hypoxia / etiology
  • Male
  • Middle Aged
  • Myocardial Ischemia / diagnosis*
  • Myocardial Ischemia / therapy
  • Polycythemia Vera / diagnosis
  • Polycythemia Vera / etiology
  • Polycythemia Vera / genetics
  • Shock, Cardiogenic / diagnosis
  • Shock, Cardiogenic / therapy
  • Treatment Outcome