Myocardial infarction in young women
DOI: 10.32364/2587-6821-2024-8-1-110.32364/2587-6821-2024-8-1-6
E.I. Khar'kov1,2, N.Yu. Tsibul'skaya1,2, E.I. Ryabkov2, E.B. Karaev2
1Prof. V.F. Voino-Yasenetsky Krasnoyarsk State Medical University, Krasnoyarsk, Russian Federation
2N.S. Karpovich Krasnoyarsk Interregional First Aid Clinical Hospital, Krasnoyarsk, Russian Federation
The low alertness of physicians and women due to the rare incidence of myocardial infarction in young women, often atypical clinical presentation, and frequent lack of obstructive coronary artery disease accounts for the issue of timely diagnosis. According to Russian researchers, the incidence of acute myocardial infarction in women aged 35–44 years in Russia in 2014 was 0.2%. Foreign studies have shown that slightly over half of young women with ST-elevation myocardial infarction experience typical chest pain. Our case reports highlight the challenges in diagnosing myocardial infarction in young women, and the impact of both gender-related and non-gender-related risk factors. Although there is no obstructive coronary atherosclerosis, myocardial infarction in young women can have a severe course and lead to complications such as cardiac aneurysms and chronic heart failure.
Keywords: myocardial infarction, young women, spontaneous coronary artery dissection.
For citation: Khar'kov E.I., Tsibul'skaya N.Yu., Ryabkov E.I., Karaev E.B. Myocardial infarction in young women. Russian Medical Inquiry. 2024;8(1):37–41 (in Russ.). DOI: 10.32364/2587-6821-2024-8-1-6.
About the authors:
Evgeniy I. Khar'kov — Dr. Sc. (Med.), professor of the Department of the Propaedeutics of Internal Diseases and Therapy with the Course of Postgraduate Education, Prof. V.F. Voino-Yasenetsky Krasnoyarsk State Medical University; 1, Partizan Zheleznyak str., Krasnoyarsk, 660022, Russian Federation; cardiologist of the Department of Cardiology, N.S. Karpovich Krasnoyarsk Interregional First Aid Clinical Hospital; 17, Kurchatov str., Krasnoyarsk, 660062, Russian Federation; ORCID iD 0000-0002-8208-0926.
Natalya Yu. Tsibul'skaya — C. Sc. (Med.), associate professor of the Department of the Propaedeutics of Internal Diseases and Therapy with the Course of Postgraduate Education, Prof. V.F. Voino-Yasenetsky Krasnoyarsk State Medical University; 1, Partizan Zheleznyak str., Krasnoyarsk, 660022, Russian Federation; cardiologist of the Department of Cardiology, N.S. Karpovich Krasnoyarsk Interregional First Aid Clinical Hospital; 17, Kurchatov str., Krasnoyarsk, 660062, Russian Federation; ORCID iD 0000-0003-0122-0884.Evgeniy I. Ryabkov — radiosurgeon of the Department of Radiosurgical Methods of Diagnosis and Treatment, N.S. Karpovich Krasnoyarsk Interregional First Aid Clinical Hospital; 17, Kurchatov str., Krasnoyarsk, 660062, Russian Federation. Karaev Elnur Bayram ogly — cardiologist of the Department of Cardiology, N.S. Karpovich Krasnoyarsk Interregional First Aid Clinical Hospital; 17, Kurchatov str., Krasnoyarsk, 660062, Russian Federation.
Contact information: Natalya Yu. Tsibul'skaya, е-mail: solna33@yandex.ru.
Financial Disclosure: no authors have a financial or property interest in any material or method mentioned.
There is no conflict of interest. Received 10.10.2023.
Revised 02.11.2023.
Accepted 28.11.2023.
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