Acute coronary syndrome in patients with hemophilia: a delicate balancing act

We report a case that illustrates the potential harm that may come from this approach: evolution of non –ST-segment elevation acute coronary syndrome into ST-elevation acute coronary syndrome during the administration of recombinant clotting factor. We review available literature and describe the refined informatics-based guidelines for managing acute coronary syndrome in patients with hemophilia we developed in response to the presented clinical case. We propose adopting this novel informatics-based approach, which aids in the identification and early treatment of these patients, operationalizes timely involvement of hematology experts, and gathers data for further study.
Source: Journal of Thrombosis and Thrombolysis - Category: Hematology Source Type: research