Clinical case of acute myocardial infarction in patients with microvascular angina

Автор: Minyuk Yu. I., Saliyeva E. V., Tamoyan Z. S., Urmanova Ju. R., Taipova L. U., Khasanov A. Kh.

Журнал: Евразийский кардиологический журнал @eurasian-cardiology-journal

Рубрика: Клинический случай

Статья в выпуске: 1, 2020 года.

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Purpose. To describe a clinical case of coronary burden without stenosing lesions of the main branches of the coronary arteries in a patient with microvascular angina with subsequent development of myocardial infarction with the formation of ischemic hypokinesis of the anterior-apical region of the left ventricle in the absence of elevated levels of serum markers of myocardial necrosis.Materials and methods. The study is based on a single clinical case. The object of the study is the patient in whom there were complaints of pressing pain localized behind the sternum and radiating to the left arm, accompanied by a mixed shortness of breath that occurred at rest, poorly stoped short-range nitrates and narcotic analgesics, sharp General weakness. Under primary inspection state of ailing average extent of gravity, consciousness clear, position active, skin integuments and visible mucous of clean, conventional painting. The patient was evaluated laboratory parameters, ECG, echo-cardiography (ECHO-kg), chest x-ray (OGK), coronary angiography (CAG), followed by transfer to the emergency Department of cardiology...

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Microvascular angina, microvascular dysfunction, coronary syndrome, coronary artery, coagulation instability of the hemostasis system

Короткий адрес: https://sciup.org/143171847

IDR: 143171847   |   DOI: 10.24411/2076-4766-2020-10006

Статья научная