A Case Report of Acute Myocardial Infarction in a Young Woman with Metabolic Disorders
https://doi.org/10.31550/1727-2378-2024-23-8-80-84
Abstract
Aim. To demonstrate the possibility of the influence of metabolic disorders on the formation of type 2 myocardial infarction in a young woman using a clinical example.
Key points. Acute myocardial infarction in young women may not be diagnosed due to low alertness of doctors and patients themselves, since this pathology is rare at this age. However, over the past decade, the prevalence of myocardial infarction in young women has increased. The presented clinical case demonstrates the development of atherosclerotic coronary lesion with critical stenosis of the coronary artery in a 31-year-old woman, which required its endoprosthetics. The lesion manifested itself with a typical clinical picture of newly developed angina, but the patient herself assessed these symptoms incorrectly, which led to late hospitalization and the development of myocardial infarction. Acute myocardial infarction was briefly preceded by an unfavorable metabolic background: impaired carbohydrate metabolism, abdominal obesity, hypothyroidism.
Conclusion. Despite the low incidence of ischemic heart disease in young women, it is necessary to be alert in the presence of myocardial ischemia symptoms in this group of patients, especially in the presence of metabolic disorders. The most important are carbohydrate metabolism disorders, abdominal obesity, and hypothyroidism. Abdominal obesity, accompanied by metabolic disorders, may be one of the possible potentially controllable risk factors for myocardial infarction in young women.
About the Authors
E. I. Harkov
Prof. V.F. Voino-Yasenetsky Krasnoyarsk State Medical University; Krasnoyarsk Interregional Clinical Hospital of Urgent Medical Care named after N.S. Karpovich
Russian Federation
Russian Federation
Krasnoyarsk
N. Yu. Tsibulskaya
Prof. V.F. Voino-Yasenetsky Krasnoyarsk State Medical University; Krasnoyarsk Interregional Clinical Hospital of Urgent Medical Care named after N.S. Karpovich
Russian Federation
Russian Federation
Krasnoyarsk
E. A. Pronina
Prof. V.F. Voino-Yasenetsky Krasnoyarsk State Medical University; Krasnoyarsk Interregional Clinical Hospital of Urgent Medical Care named after N.S. Karpovich
Russian Federation
Russian Federation
Krasnoyarsk
M. M. Petrova
Prof. V.F. Voino-Yasenetsky Krasnoyarsk State Medical University
Russian Federation
Russian Federation
Krasnoyarsk
E. I. Riabkov
Krasnoyarsk Interregional Clinical Hospital of Urgent Medical Care named after N.S. Karpovich
Russian Federation
Russian Federation
Krasnoyarsk
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For citations:
Harkov E.I., Tsibulskaya N.Yu., Pronina E.A., Petrova M.M., Riabkov E.I. A Case Report of Acute Myocardial Infarction in a Young Woman with Metabolic Disorders. Title. 2024;23(8):80-84. (In Russ.) https://doi.org/10.31550/1727-2378-2024-23-8-80-84
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