Myocardial infarction in a young woman without cardiovascular risk factors: a case report
E. A. Nenakhova,
G. R. Bikbaeva,
A. A. Tukhbatova,
O. D. Eminova,
A. N. Kovalskaya,
A. A. Kostareva,
D. V. Duplyakov https://doi.org/10.15829/15604071-2024-5430
EDN: HQFSPL
Abstract
Myocardial infarction usually occurs in people over 50 years of age, but younger patients can also be affected. The article presents a case of a young patient, 34 years old, who was admitted to the cardiology department with a diagnosis of lowrisk non-ST segment elevation acute coronary syndrome. The patient complained of anginal pain that occurred for the first time. However, she did not have typical risk factors for cardiovascular diseases. Coronary angiography showed a critical stenosis of 99% in the proximal third of the 2nd segment of the right coronary artery. A case clearly demonstrates the importance of a thorough examination of young patients with complaints of chest pain, which is often mistakenly interpreted as a pathology of other organs and systems other than the cardiovascular one. No risk factors in a patient does not guarantee low risk of myocardial infarction, and a detailed examination of the patient will help to avoid underdiagnosis of acute coronary syndrome.
About the Authors
E. A. Nenakhova
Samara State Medical University
Russian Federation
Russian Federation
Samara
G. R. Bikbaeva
Polyakov Samara Regional Clinical Cardiology Dispensary
Russian Federation
Russian Federation
Samara
A. A. Tukhbatova
Polyakov Samara Regional Clinical Cardiology Dispensary
Russian Federation
Russian Federation
Samara
O. D. Eminova
Polyakov Samara Regional Clinical Cardiology Dispensary
Russian Federation
Russian Federation
Samara
A. N. Kovalskaya
Samara State Medical University
Russian Federation
Russian Federation
Samara
A. A. Kostareva
Almazov National Medical Research Center
Russian Federation
Russian Federation
St. Petersburg
D. V. Duplyakov
Samara State Medical University;
Polyakov Samara Regional Clinical Cardiology Dispensary
Russian Federation
Russian Federation
Samara
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The young age of patients does not rule out the risk of acute coronary syndrome, even in the absence of widely known risk factors, including genetic.
Review
For citations:
Nenakhova E.A., Bikbaeva G.R., Tukhbatova A.A., Eminova O.D., Kovalskaya A.N., Kostareva A.A., Duplyakov D.V. Myocardial infarction in a young woman without cardiovascular risk factors: a case report. Russian Journal of Cardiology. 2024;29(1S):5430. (In Russ.) https://doi.org/10.15829/15604071-2024-5430. EDN: HQFSPL
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