Cardiology Service, Clinica San Martino, Malgrate, Italy.
Cardiovascular Department, Manzoni Hospital, Lecco, Italy.
Am J Cardiol. 2023 Dec 15;209:8-9. doi: 10.1016/j.amjcard.2023.09.062. Epub 2023 Oct 17.
We report the case of a male smoker who is overweight and has no leisure time physical activity until a first acute inferolateral myocardial infarction at the age of 44 years, which was treated using coronary stenting of the left circumflex artery. He was discharged with an ejection fraction of 0.45 and the indication to quit smoking and initiate regular aerobic physical activity. After that episode, he started regular mountain hiking in the Alps, Andes, and, finally, in the Himalayas and Karakorum, where, up to the age of 65 years, he climbed 5 peaks of altitude >8,000 m, always solo and without oxygen, despite a recurrent myocardial infarction because of occlusion at the distal edge of the previously implanted stent. This case supports the indication that high-altitude per se is not contraindicated in patients with well-compensated coronary artery disease, even after an acute MI.
我们报告了一例男性吸烟者的病例，该患者超重，且没有闲暇时间进行体育活动，直到 44 岁时首次发生急性下外侧心肌梗死，采用左回旋支冠状动脉支架置入术进行治疗。出院时射血分数为 0.45，需要戒烟并开始定期进行有氧运动。在那次发作之后，他开始定期在阿尔卑斯山、安第斯山脉和喜马拉雅山脉和喀喇昆仑山脉徒步旅行，直到 65 岁时，他独自攀登了 5 座海拔超过 8000 米的山峰，而且没有使用氧气，尽管他因先前植入的支架远端边缘阻塞而反复发生心肌梗死。该病例支持这样一种观点，即对于冠状动脉疾病代偿良好的患者，即使在急性心肌梗死后，高原本身也不是禁忌。
