PT  - JOURNAL ARTICLE
AU  - Sathish K Parasuraman
AU  - Alison IC Teo
AU  - Colin GM Millar
AU  - Awsan Noman
TI  - Pneumonitis and pulmonary haemorrhage after acute myocardial infarction
AID  - 10.7861/clinmedicine.15-6-591
DP  - 2015 Dec 01
TA  - Clinical Medicine
PG  - 591--593
VI  - 15
IP  - 6
4099  - http://www.rcpjournals.org/content/15/6/591.short
4100  - http://www.rcpjournals.org/content/15/6/591.full
SO  - Clin Med2015 Dec 01; 15
AB  - A 55-year-old man presented with acute ST-elevation myocardial infarction. He received rescue angioplasty with one drug eluting stent. He developed marked breathlessness and haemoptysis two days later. Investigations led to the diagnosis of pulmonary haemorrhage, possibly from pneumonitis caused by ticagrelor. He was successfully managed with high-dose steroids and ticagrelor was replaced with clopidogrel. On stopping the steroids a month later, mild haemoptysis recurred and this was managed conservatively. Pneumonitis and pulmonary haemorrhage is rarely reported with acute myocardial infarction, but poses serious challenge to the patient and the clinician. Diagnosis may be delayed as breathlessness can occur due to myriad causes after myocardial infarction. Interrupting dual anti-platelet therapy after angioplasty could lead to devastating stent thrombosis.