[Myocardial infarction in AIDS].
We report two cases of myocardial infarction, in young HIV positive patients seen in the Emergency Department. These patients were under treatments: for one, an association of nucleosidic inhibitors, and for the other one, the combination of nucleosic analogue inhibitor with a non nucleosic analogue; in the last case, the patient underwent, few months before, a treatment containing a protease inhibitor. In both cases, the pain wasn't typical and didn't refer to a coronary heart disease. Lipid tests were normal. The diagnosis has been made quickly and allows a coronary angioplasty with a favourable issue. Authors are arguing the characteristics of this cardiac pathology, recently discovered in HIV positive patients, and do insist on the need to think at a coronary heart disease in front of any chest pain symptom even unusual.
Aim
J L
JL
Service des urgences médicochirurgicales, Hôtel-Dieu, place du Parvis-Notre-Dame, 75004 Paris, France.
Orlando
B
B
Cantin-Bertaux
D
D
Pourriat
J L
JL
D000163:Acquired Immunodeficiency Syndrome / Q000150:complications* / Q000188:drug therapy; D000328:Adult; D019380:Anti-HIV Agents / Q000009:adverse effects / Q000627:therapeutic use; D002637:Chest Pain / Q000209:etiology; D004562:Electrocardiography; D004632:Emergency Medical Services; D005260:Female; D017320:HIV Protease Inhibitors / Q000009:adverse effects / Q000627:therapeutic use; D006801:Humans; D008297:Male; D009203:Myocardial Infarction / Q000209:etiology* / Q000601:surgery
D019380:Anti-HIV Agents; D017320:HIV Protease Inhibitors