PMID- 25422328 OWN - NLM STAT- MEDLINE DCOM- 20150708 LR - 20231031 IS - 1757-790X (Electronic) IS - 1757-790X (Linking) VI - 2014 DP - 2014 Nov 24 TI - The mystery of recurrent idiopathic cerebrovascular and coronary arterial thrombosis. LID - 10.1136/bcr-2014-205430 [doi] LID - bcr2014205430 AB - A 46-year-old man presented to our hospital with ST elevation myocardial infarction (STEMI). Previous records revealed a history of recurrent non-STEMI, stroke and transient ischaemic attacks. He was thoroughly investigated with coronary angiography, a cerebral CT angiography, thrombophilia panel and autoimmune screening tests, all of which proved negative. His current episode of STEMI resulted while on dual antiplatelet therapy; the patient was investigated for P2Y12 receptor resistance, which was also negative. A diagnosis of idiopathic recurrent arterial thrombosis was established and the patient was discharged home on aspirin and warfarin. Routine follow-up has revealed no recurrence of symptoms. CI - 2014 BMJ Publishing Group Ltd. FAU - Rajani, Ali Raza AU - Rajani AR AD - Department of Cardiology, Rashid Hospital, Dubai Health Authority, Dubai, UAE. FAU - Mahmoud, Wael Ezzat AU - Mahmoud WE AD - Department of Cardiology, Rashid Hospital, Dubai Health Authority, Dubai, UAE. FAU - Murugesan, Vagishwari AU - Murugesan V AD - Department of Cardiology, Rashid Hospital, Dubai Health Authority, Dubai, UAE. FAU - BinBrek, Azan Salem AU - BinBrek AS AD - Department of Cardiology, Rashid Hospital, Dubai Health Authority, Dubai, UAE. LA - eng PT - Case Reports PT - Journal Article DEP - 20141124 PL - England TA - BMJ Case Rep JT - BMJ case reports JID - 101526291 RN - 0 (Anticoagulants) RN - 0 (Platelet Aggregation Inhibitors) RN - 5Q7ZVV76EI (Warfarin) RN - R16CO5Y76E (Aspirin) SB - IM MH - Anticoagulants/therapeutic use MH - Aspirin/therapeutic use MH - Brain Ischemia/drug therapy/*etiology MH - Coronary Thrombosis/*complications/*diagnosis/drug therapy MH - Diagnosis, Differential MH - Electrocardiography MH - Humans MH - Male MH - Middle Aged MH - Myocardial Infarction/drug therapy/*etiology MH - Platelet Aggregation Inhibitors/therapeutic use MH - Recurrence MH - Warfarin/therapeutic use PMC - PMC4244328 EDAT- 2014/11/26 06:00 MHDA- 2015/07/15 06:00 PMCR- 2016/11/24 CRDT- 2014/11/26 06:00 PHST- 2014/11/26 06:00 [entrez] PHST- 2014/11/26 06:00 [pubmed] PHST- 2015/07/15 06:00 [medline] PHST- 2016/11/24 00:00 [pmc-release] AID - bcr-2014-205430 [pii] AID - 10.1136/bcr-2014-205430 [doi] PST - epublish SO - BMJ Case Rep. 2014 Nov 24;2014:bcr2014205430. doi: 10.1136/bcr-2014-205430.