A Case Report of Acute Myocardial Infarction in a Young Woman with Severe Mitral Stenosis and OCP Use
Background and Objectives: Acute myocardial infarction is a rare complication of mitral stenosis, which in rare cases occurs following the use of oral contraceptive pills. Case Report: A 28-year-old woman was admitted to emergency ward with complaint of severe chest pain typical of is chemia. Ele...
| Main Authors: | , |
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| Format: | Article |
| Language: | fas |
| Published: |
Qom University of Medical Sciences
2013-05-01
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| Series: | Majallah-i Dānishgāh-i ̒Ulūm-i Pizishkī-i Qum |
| Subjects: | |
| Online Access: | http://journal.muq.ac.ir/article-1-519-en.html |
| Summary: | Background and Objectives: Acute myocardial infarction is a rare complication of mitral stenosis, which in rare cases occurs following the use of oral contraceptive pills.
Case Report: A 28-year-old woman was admitted to emergency ward with complaint of severe chest pain typical of is chemia. Electrocardiogram showed ST segment elevation in leads II, III, avf, and ST depression in anterior leads. Also, Troponin I level elevated to 16µg/l. Diagnosis of MI of the inferior and lateral walls was established. The patient reported a history of breathlessness after physical activity over the last 2 years, and was aware of her mitral disease. Also, the patient stated that she had been taking oral contraceptive pills over the past 3 months. Transthorasic echocardiography showed severe mitral stenosis (mitral valve area<1cm), and severe hypokinesia of inferior and laterel walls. Coronary arteries were normal in cardiac angiography. It seemed that acute MI in this patient with valvular heart disease, history of OCP use, and normal angiogram was due to thromboembolism from left atrial thrombus. |
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| ISSN: | 1735-7799 2008-1375 |