Two-year observation of a young woman with recurrent myocardial infarction
Abstract
The article is devoted to a clinical case of recurrent acute myocardial infarction (AMI) in a 35-year-old woman. The patient had several AMI risk factors (RF): long-term, intensive smoking, Chlamydia pneumoniae and Helicobacter pylori infections, medical abortions, dysmenorrhea, uterine myoma, hormonal and hemostatic dysbalance, and psycho-emotional stress. Endothelial dysfunction, pediatric anamnesis, and multiple organ pathology also played their roles in recurrent AMI pathogenesis.
About the Authors
M. S. Freydlina
Clinical Center «Cardiology»
Russian Federation
Russian Federation
A. N. Kharlamov
Ural State Medical Academy
Russian Federation
Russian Federation
Ya. L. Gabinsky
Clinical Center «Cardiology»
Russian Federation
Russian Federation
E. D. Rozhdestvenskaya
Ural State Medical Academy
Russian Federation
Russian Federation
O. S. Novoselova
Ural State Medical Academy
Russian Federation
Russian Federation
V. V. Altukhov
Regional Military Clinical Hospital No. 354
Russian Federation
Russian Federation
T. A. Naydanova
Ural State Medical Academy
Russian Federation
Russian Federation
L. A. Shardina
Ural State Medical Academy
Russian Federation
Russian Federation
S. D. Chernyshev
First Regional Clinical Hospital, Yekaterinburg
Russian Federation
Russian Federation
References
1. Аронов Д.М. Коронарная недостаточность у молодых. Москва «Медицина» 1974.
2. Чурина С.К. Особенности патогенеза ишемической болезни сердца у женщин молодого и среднего возраста. Ленинград «Наука» 1983.
3. Шардин С.А., Барац С.С., Бенедиктов И.И. Сердечно-сосудистая патология у женщин (инфлогенитологический аспект). Екатеринбург, Изд-во Урал. ун-та 1997.
4. Auerbach I, Chouraqui P, Motro M, et al. Chest pain in women. N Engl J Med 1996; 335: 820-1.
5. Bux-Gewehr I, Nacke A, Feurle GE. Reccuring myocardial infarction in a 35 year old woman. Heart 1999; 81: 316-7.
6. Douglas PS, Ginsburg GS. The evaluation of chest pain in women. N Engl J Med 1996; 334(20): 1311-5.
7. Osula S, Bell GM, Hornung RS. Acute myocardial infarction in young adults: causes and management. Postgrad Med J 2002; 78: 27-30.
8. Sullivan AK, Holdright DR, Wright CA, et al. Chest pain in women: clinical, investigative, and prognostic features. BMJ 1994; 308: 883-6.
9. Williams MJA, Restieaux NJ, Low CJS. Myocardial infarction in young people with normal coronary arteries. Heart 1998; 79: 191-4.
10. Engel HJ, Engel E, Lichten PR. Coronary atherosclerosis and myocardial infarction in young women – role of oral contraceptives. Eur Heart J 1983; 4: 1-6.
11. Solomon CG, Hu FB, Dunaif A, et al. Menstrual cycle irregularity and risk for future cardiovascular disease. J Clin Endocrin Metab 2002; 87(5): 2013-7.
12. Погосова Г.В. Депрессия – новый фактор риска ишемической болезни сердца и предиктор коронарной смерти. Кардиология 2002; 4: 20-6.
13. Carney RM, Blumenthal JA, Stein PK, et al. Depression, heart rate variability, and acute myocardial infarction. Circulation 2001; 104(17): 2024-8.
14. Pickering T, Davidson K, Chaplin W, et al. Psychological factors and coronary artery disease. N Engl J Med 2001; 344: 608-11.
15. Steptoe A. Psychosocial factors in the aetiology of coronary heart disease. Heart 1999; 82: 258-9.
16. Белялов Ф.И. Психосоматические аспекты ишемической болезни сердца. Кардиология 2002; 8: 63-7.
17. Алмазов В.А., Беркович О.А., Ситникова М.Ю. и др. Эндотелиальная дисфункция у больных с дебютом ишемической болезни сердца в разном возрасте. Кардиология 2001; 5: 26-9.
18. Сергиенко В.Б., Саютина Е.В., Самойленко Л.Е. и др. Роль дисфункции эндотелия в развитии ишемии миокарда у больных ишемической болезнью сердца с неизмененными и малоизмененными коронарными артериями. Кардиология 1999; 1: 25-30.
19. Steingart RM, Packer M, Hamm P, et al. Sex differences in the management of coronary artery disease. N Engl J Med 1991; 325: 226-30.
20. Педиатрия. Под ред. Н.П. Шабалова. Санкт-Петербург «СпецЛит» 2002.
21. Липохед В.Г., Мартынова В.Р. Роль Chlamydia pneumoniae в этиологии атеросклероза. Ж микробиол 2000; 4: 117-21.
22. Попонина Т.М., Кавешников В.С., Марков В.А. и др. Chlamydia pneumoniae: связь с атеросклерозом и ишемической болезнью сердца. Кардиология 2001; 9: 65-70.
23. Danesh J, Wong Y, Ward M, Muir J. Chronic infection with Helicobacter pylori, Chlamydia pneumoniae, or cytomegalovirus: population based study of coronary heart disease. Heart 1999; 81: 245-7.
24. Espinola-Klein C, Rupprecht HJ, Blankenberg S, et al. Impact of infectious burden on extent and long-term prognosis of atherosclerosis. Circulation 2002; 105(1): 2-4, 15-21.
25. Dunn NR, Faragher B, Thorogood M, et al. Risc of myocardial infarction in young female smokers. Heart 1999; 82: 581-3.
26. Prescott E, Hippe M, Schnohr P, et al. Smoking and risk of myocardial infarction in women and men: longitudinal population study. BMJ 1998; 316: 1043-7.
27. Njolstad I, Arnesen E, Lund-Larsen PG. Smoking, serum lipids, blood pressure, and sex differences in myocardial infarction. Circulation 1996; 93: 450-6.
28. Бойко Ю.Г. Актуальные аспекты острого деструктивного панкреатита. Архив патол 1998; 1: 3-7.
Review
For citations:
Freydlina M.S., Kharlamov A.N., Gabinsky Ya.L., Rozhdestvenskaya E.D., Novoselova O.S., Altukhov V.V., Naydanova T.A., Shardina L.A., Chernyshev S.D. Two-year observation of a young woman with recurrent myocardial infarction. Cardiovascular Therapy and Prevention. 2005;4(5):99-104. (In Russ.)
Views:
473
Email this article 
