Kemaloglu Tugba, Ozer Nihat, Fikri Yapici Mehmet
Cardiology Department, Specialist, Siyami Ersek Cardiovascular and Thoracic Surgery Center, Istanbul, Turkey.
Cardiology Department, Professor, Memorial Atasehir Hospital, Istanbul, Turkey.
Res Cardiovasc Med. 2016 Mar 5;5(2):e31506. doi: 10.5812/cardiovascmed.31506. eCollection 2016 May.
In Turner syndrome, cardiovascular complications are the most important causes of early mortality. Congenital cardiovascular abnormalities are found in approximately one third of Turner syndrome patients. Developments in diagnosis and treatment have decreased the rate of mortality related to these abnormalities. In recent years, many papers have mentioned that coronary artery disease developing at early ages in patients with Turner syndrome causes sudden deaths.
The patient, a 27-year-old female was admitted to the emergency room with chest pain at rest. She was diagnosed with Turner Syndrome in her teenage years due to amenorrhea. Patients with ECG changes and cardiac enzyme elevations were treated with acute coronary syndrome.
The young woman with Turner Syndrome have several risk factors for early Coronary Artery Disease development. In such cases, dramatic results like sudden death or heart attack at an early age may occur in cases of insufficient follow-up and treatment.
在特纳综合征中，心血管并发症是早期死亡的最重要原因。约三分之一的特纳综合征患者存在先天性心血管异常。诊断和治疗方面的进展降低了与这些异常相关的死亡率。近年来，许多论文提到特纳综合征患者早年发生的冠状动脉疾病会导致猝死。
该患者为一名27岁女性，因静息时胸痛被送入急诊室。她在青少年时期因闭经被诊断为特纳综合征。心电图改变和心肌酶升高的患者接受了急性冠状动脉综合征的治疗。
患有特纳综合征的年轻女性有早期冠状动脉疾病发展的多种危险因素。在这种情况下，如果随访和治疗不足，可能会在早年出现猝死或心脏病发作等严重后果。
