Lazarov L, Belcheva L
Vutr Boles. 1984;23(2):125-31.
A case with repeated myocardial infarction is reported in a 23-year old female diabetic, established at necropsy and not diagnosed while still living. The infarctions had been painless and their electrocardiographic manifestation had not been definite. Generalized atherosclerosis with coronary sclerosis was pathologoanatomically established, with no obturating thrombus in the magistral vessels. Diffuse microangiopathic changes, in myocardium including, were present. The pathogenetic possibilities, associated with the characteristics of the clinical picture were discussed.
本文报道了一名23岁女性糖尿病患者反复发生心肌梗死的病例,该病例经尸检确诊,生前未被诊断出来。梗死发作时无痛,心电图表现不明确。经病理解剖证实存在全身性动脉粥样硬化伴冠状动脉硬化,主要血管内无闭塞性血栓。心肌存在弥漫性微血管病变。结合临床表现特点,探讨了可能的发病机制。