[Two consecutive cases of myocardial infarction among young women in reproductive age and without risk factors].
Coronary artery disease does not occur in all the patients with acute myocardial infarction. Coronary artery diseases occurs in 97% of cases; in the other 3% of cases, myocardial infarction is caused by coronary spasm (40%, intracoronary thrombosis (60%) due to platelet hyperreactivity, peripartum thrombophilia or use of oral contraceptives. Myocardial infarction in young women is an infrequent event. Spontaneous coronary artery dissection is a rare cause of acute myocardial infarction that typically occurs during the peripartum period. A few cases of myocardial infarction in premenopausal women with no risk factors for coronary artery disease and normal coronary arteries have been reported. We describe 2 consecutive cases of acute myocardial infarction occurred in young, premenopausal women, without risk factors for cardiovascular diseases.
Nicosia
Antonino
A
Istituto di Cardiologia Università degli Studi Viale A. Vasta, 33 95126 Catania. antoninon@hotmail.com
Gulino
Rosalba
R
Leotta
Emanuele
E
Russo
Giovanni
G
Galassi
Alfredo R
AR
Tamburino
Corrado
C
Giuffrida
Giuseppe
G
D000328:Adult; D005260:Female; D006801:Humans; D008875:Middle Aged; D009203:Myocardial Infarction / Q000209:etiology*; D012307:Risk Factors