title: [Two consecutive cases of myocardial infarction among young women in reproductive age and without risk factors].
abstract: 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.
authors.affiliation: Istituto di Cardiologia Università degli Studi Viale A. Vasta, 33 95126 Catania. antoninon@hotmail.com
authors.forename: Antonino
authors.initials: A
authors.lastname: Nicosia
authors.forename: Rosalba
authors.initials: R
authors.lastname: Gulino
authors.forename: Emanuele
authors.initials: E
authors.lastname: Leotta
authors.forename: Giovanni
authors.initials: G
authors.lastname: Russo
authors.forename: Alfredo R
authors.initials: AR
authors.lastname: Galassi
authors.forename: Corrado
authors.initials: C
authors.lastname: Tamburino
authors.forename: Giuseppe
authors.initials: G
authors.lastname: Giuffrida
mesh_terms: D000328:Adult; D005260:Female; D006801:Humans; D008875:Middle Aged; D009203:Myocardial Infarction / Q000209:etiology*; D012307:Risk Factors