Myocardial infarction without coronary artery occlusion following mental stress

被引:3
作者
Zoofaghari, Shafeajafar [1 ]
Nikaen, Fariborz [2 ]
Bahramsari, Shahrzad [1 ]
Hashemzadeh, Mozhdeh [3 ]
Dorooshi, Gholamali [1 ]
机构
[1] Isfahan Univ Med Sci, Isfahan Clin Toxicol Res Ctr, Dept Clin Toxicol, Esfahan, Iran
[2] Islamic Azad Univ, Sch Med, Dept Cardiol, Najafabad Branch, Najafaba, Iran
[3] Isfahan Univ Med Sci, Hlth Informat Res Ctr, Clin Informationist Res Grp, Esfahan, Iran
来源
JOURNAL OF RESEARCH IN MEDICAL SCIENCES | 2021年 / 26卷 / 01期
关键词
Coronary artery; myocardial infarction; stress; troponin; RAPID RISK STRATIFICATION; SUPPRESS ADVERSE OUTCOMES; ENDOTHELIAL DYSFUNCTION; SECONDARY PREVENTION; EARLY IMPLEMENTATION; MORTALITY RISK; DISEASE; ASSOCIATION; PREDICTORS; THERAPIES;
D O I
10.4103/jrms.JRMS_128_20
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Myocardial infarction (MI) with nonobstructive coronary arteries (MINOCA) is syndrome with clinical evidence of acute MI (AMI) with normal coronary arteries. This study reports the case of a 23-year-old single woman referring to the hospital with clinical manifestations of MI, with electrocardiography findings of slow ventricular tachycardia or accelerated idioventricular rhythm and atrioventricular dissociation, and high troponin levels, which was admitted with the diagnosis of MINOCA due to mental stress (grief) and was discharged after 4 days of monitoring and following stabilization of conditions and absence of symptoms. Other causes of MINOCA ruled out through imaging studies. Mental stress can lead to MINOCA.
引用
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页数:4
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