Clinical case of myocardial infarction without coronary artery obstruction in a young patient
https://doi.org/10.20340/vmi-rvz.2022.3.CASE.1
Abstract
Myocardial infarction without coronary artery obstruction, according to Russian authors, occurs from 4.1 to 10.3% of cases of all myocardial infarctions. Despite a fairly complete description of the term "acute myocardial infarction", there are often situations when the diagnosis may cause doubts and the cause of the condition cannot be found out. The article demonstrates a clinical case of a 26-year-old young man whose genesis of myocardial infarction after a detailed examination turned out to be unclear.
About the Authors
I. S. GrishinRussian Federation
Izhevsk
Competing Interests:
The authors declare no competing interests.
N. I. Maksimov
Russian Federation
Izhevsk
Competing Interests:
The authors declare no competing interests.
References
1. Acute myocardial infarction with ST segment elevation electrocardiogram. Clinical guidelines 2020. Russian Society of Cardiology, Association of Cardiovascular Surgeons of Russia. Russian journal of cardiology. 2020;25(11):4103. (in Russ). https://doi.org/10.15829/1560-4071-2020-4103
2. Agewall S, Beltrame JF, Reynolds HR et al. ESC working group position paper on myocardial infarction with nonobstructive coronary arteries. Eur Heart J. 2017;38:143-153.
3. Pathik B, Raman B , Mohd Amin NH , et al. Troponin-positive chest pain with unobstructed coronary arteries: incremental diagnostic value of cardiovascular magnetic resonance imaging. Eur Heart J. Cardiovasc Imaging 2016;17:1146-1152.
4. Kubo T , Imanishi T , Takarada S , et al. Assessment of culprit lesion morphology in acute myocardial infarction: ability of optical coherence tomography compared with intravascular ultrasound and coronary angioscopy. J Am Coll Cardiol. 2007;50:933-939.
5. Rimar D., Crystal E., Battler A. et al. Improved prognosis of patients presenting with clinical markers of spontaneous reperfusion during acute myocardial infarction. Heart. 2002;88:352-356.
6. Sherashov A.V., Shilova A.S., Pershina E.S. et al. Myocardial Infarction With Nonobstructive Coronary Arteries. Kardiologiia. 2020;60(3):89-95.
7. Pasupathy S, Air T, Dreyer RP et al. Systematic Review of Patients Presenting With Suspected Myocardial Infarction and Nonobstructive Coronary Arteries. Circulation. 2015;131(10):861-870.
Supplementary files
Review
For citations:
Grishin I.S., Maksimov N.I. Clinical case of myocardial infarction without coronary artery obstruction in a young patient. Bulletin of the Medical Institute "REAVIZ" (REHABILITATION, DOCTOR AND HEALTH). 2022;12(3):117-124. (In Russ.) https://doi.org/10.20340/vmi-rvz.2022.3.CASE.1