Mirra Marco, Kola Nertil, Mattiello Giacomo, Morisco Carmine, Spinelli Letizia
Department of Translational Medical Sciences, Federico II University, Naples, Italy.
Department of Advanced Medical Sciences, Federico II University, Naples, Italy.
Am J Emerg Med. 2017 Jun;35(6):936.e5-936.e7. doi: 10.1016/j.ajem.2016.12.040. Epub 2016 Dec 16.
Polycystic ovarian syndrome (PCOS) affects 4% to 12% of women in reproductive age, representing a clinical condition that could predispose to cardiovascular diseases. We report a case of a 34-year-old woman with PCOS, presenting with chest pain, onset two days before, and ST segment-elevation myocardial infarction. She was not pregnant or in a postpartum state. Subsequent cardiac angiography revealed spontaneous left anterior descending coronary artery dissections, managed by conservative approach. The patient was discharged in medical therapy after 5days. This is the first observation of spontaneous coronary artery dissection occurring in a PCOS patient.
多囊卵巢综合征（PCOS）影响4%至12%的育龄妇女，是一种可能易患心血管疾病的临床病症。我们报告一例34岁患有PCOS的女性病例，该患者出现胸痛，于两天前发病，诊断为ST段抬高型心肌梗死。她未怀孕且非产后状态。随后的心脏血管造影显示为自发性左前降支冠状动脉夹层，采用保守方法治疗。患者在5天后接受药物治疗出院。这是首次观察到PCOS患者发生自发性冠状动脉夹层。
