Myocardial infarction in a young patient with antiphospholipid syndrome: A case report
Tato kazuistika zdrazuje vznam multimodlnho pstupu, personalizovanch lebnch intervenc a nepznivou prognzu infarktu myokardu bez vznamnho postien koronrnch tepen (myocardial infarction with non-obstructive coronary arteries, MINOCA) u mladho pacienta s antifosfolipidovm syndromem (antiphospholipid syndrome, APS). Na oddlen urgentnho pjmu byl pivezen 39let mu s diagnzou infarktu myokardu s elevacemi seku ST (STEMI) ve td III Killipovy klasifikace. Angiografick vyeten neprokzalo ptomnost obstruknho postien epikardu koronrnch tepen, co si vydalo dal vyeten srdce magnetickou rezonanc (MR). Toto vyeten odhalilo jizvy po infarktu myokardu na ad mst na tepnch a tkou dysfunkci lev komory. U pacienta dolo k rozvoji srdenho selhn se snenou ejekn frakc, a proto mu byl subkutnn implantovn kardioverter-defibriltor. © 2025, KS.
Authors
- Ana Batista (ORCID: https://orcid.org/0000-0001-5393-2256)
- Sofia Carvalho (ORCID: https://orcid.org/0000-0002-1084-2741)
- Inês Silveira (ORCID: https://orcid.org/0000-0002-3120-4175)
- Catarina Ferreira (ORCID: https://orcid.org/0000-0002-4367-1686)
- M Bernardo (ORCID: https://orcid.org/0009-0005-8753-4615)
- Catarina Ribeiro Carvalho
- Ilídio Moreira
Publication Details
- Journal
- Cor et Vasa
- Published
- 2025-05-01
- DOI
- https://doi.org/10.33678/cor.2024.085
- Primary Topic
- Takotsubo Cardiomyopathy and Associated Phenomena
- Type
- article
- Field-Weighted Citation Impact
- 0.00