Acute myocardial infarction and rescue percutaneous transluminal coronary angioplasty in a young HIV-infected patient.
We report a case of acute myocardial infarction in an HIV-infected patient without significant coronary artery disease (CAD) risk factors. The patient underwent rescue percutaneous transluminal coronary angioplasty (PTCA), with a successful outcome. We presume a possible pathogenetic role of anti-retroviral therapy and/or direct viral action on ischaemic heart disease progression. We propose that the current approach to management of AIDS-affected patients needs close monitoring for CAD risk factors and symptoms, to improve prognosis and life expectancy.
Saporito
F
F
Department of Clinical and Experimental Medicine and Pharmacology, University of Messina School of Medicine, Messina, Italy. francosaporito@tiscali.it
Micari
A
A
Raffa
S
S
Cerrito
M
M
Micari
G
G
Grassi
R
R
D000328:Adult; D015906:Angioplasty, Balloon, Coronary / Q000379:methods*; D017023:Coronary Angiography; D004562:Electrocardiography; D015658:HIV Infections / Q000150:complications*; D006801:Humans; D008297:Male; D009203:Myocardial Infarction / Q000150:complications / Q000628:therapy*