UNEXPECTED THREAT: RARE EVENT OF LATE STENT THROMBOSIS

• Autor(a) principal: Carvalhal, Afonso
• Data de Publicação: 2024
• Outros Autores: Moreira Costa, Márcia, Dias, Ana Raquel, Andrade, Anabela, Adão, Ana Margarida, Costa, Ângela
• Tipo de documento: Artigo
• Idioma: por
• Título da fonte: Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
• Texto Completo: https://doi.org/10.58043/rphrc.116

Acute myocardial infarction (AMI) is a prevalent and high mortality condition. Addressing and optimizing cardiovascular risk factors is essential to reduce the risk of cardiovascular events. The intervention in the acute phase of this pathology implies direct costs associated with treatment, hospitalization, rehabilitation and follow-up, but also indirect costs such as work absenteeism and decreased quality of life. AMI may be associated with other comorbidities, such as atrial fibrillation in 20% of cases, increasing therapeutic complexity. The risk of AMI recurrence is increased in patients with previous AMI, but stent thrombosis is a rare entity, and even rarer is stent thrombosis more than 1 year after intervention. AMI due to stent thrombosis appear to have more severe outcomes than AMI due to atherosclerotic plaque rupture. This case demonstrates that, even after optimizing the control of cardiovascular risk factors after the first event of AMI, the risk of recurrence is not negligible, and entities such as stent thrombosis may occur in any time period. Our aim is to highlight the importance of the multidisciplinary approach in the follow-up of these patients. The control of risk factors and therapy optimization are essential to reduce the likelihood of a new event, despite the fact that it is not always possible to completely eliminate this risk.