Maillard L, Moini C, Paemelaere J M, Quilliet L, Desveaux B, Richard M P, Charbonnier B, Raynaud P
Service de cardiologie A, CHU Trousseau, Tours.
Arch Mal Coeur Vaiss. 1995 Apr;88(4):497-502.
Myocardial infarction is a rare clinical event in young women. The usual presentation is similar to that of older adults. The authors report a case of anteroseptal infarction in a 24 year old woman presenting with paroxysmal epigastric pain without irradiation with fever, during menstruation. The electrocardiogram was compatible with acute pericarditis. The diagnosis was rectified by echocardiography which showed anteroseptal akinesia. Coronary angiography performed as an emergency showed a radiolucent mobile image in the mid segment of the left anterior descending artery with appearances of a distal embolism which were attributed to thrombosis. Intracoronary thrombolysis was associated with a good outcome.
心肌梗死在年轻女性中是一种罕见的临床事件。其常见表现与老年患者相似。作者报告了一例24岁女性前间隔梗死的病例，该患者在月经期间出现阵发性上腹部疼痛，无放射痛，伴有发热。心电图表现与急性心包炎相符。超声心动图纠正了诊断，显示前间隔运动减弱。急诊进行的冠状动脉造影显示左前降支中段有一个透光的移动影像，表现为远端栓塞，归因于血栓形成。冠状动脉内溶栓治疗取得了良好效果。
