[Acute myocardial infarct in patients under 30 years old].
Between 1980 and 1985 nine patients under the age of 30 were admitted to our hospital with acute myocardial infarction. They represented 4% of all patients with acute myocardial infarction. Coronary angiography was performed in 8 patients and in a high proportion (5 patients) no stenotic lesion was found. In these patients, vasospasm seems to be the most likely pathogenesis. In one patient no angiography was performed; he had stopped anticoagulation therapy after aortic valve replacement and therefore coronary embolism was the obvious reason for the infarct. After a median of 5 years (2-7) no patient had died or had suffered a new coronary event. The 5 patients with angiographically normal coronary arteries had ceased taking medication and were all back to work full time. Psychological evaluation showed impaired ability to express aggression in all 9 patients.
Zuber
M
M
Abteilung für Intensivmedizin, Medizinischen Universitätskliniken Basel.
Fellmann
M
M
Burkart
F
F
Ritz
R
R
D000208:Acute Disease; D000328:Adult; D000790:Angiocardiography; D000925:Anticoagulants / Q000627:therapeutic use; D002121:Calcium Channel Blockers / Q000627:therapeutic use; D003329:Coronary Vasospasm / Q000150:complications; D005260:Female; D006801:Humans; D008297:Male; D009203:Myocardial Infarction / Q000175:diagnosis* / Q000188:drug therapy / Q000209:etiology; D012189:Retrospective Studies
D000925:Anticoagulants; D002121:Calcium Channel Blockers
Akuter Myokardinfarkt bei Patienten unter 30 Jahren.