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Acute Myocardial Infarction in a 26-Year-Old Patient With Familial Hypercholesteremia

机译:26岁家族性高胆固醇血症患者的急性心肌梗死

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A 26-year-old male suffered sustained chest pain. Electrocardiogram showed ST-segment elevation in the anteroseptal wall and reciprocal ST-segment change in the inferior wall. The troponin-I level and the white blood cell count were elevated. We gave a diagnosis of acute myocardial infarction. He underwent urgent coronary angiography, which revealed 90% diffuse stenosis in the middle right coronary artery and total occlusion in the proximal left anterior descending coronary artery (LAD). Since the electrocardiogram indicated that the culprit lesion was in the proximal LAD, we performed percutaneous coronary intervention. The coronary flow in the LAD was classified as thrombolysis in myocardial infarction trial 3. His coronary risk factors were obesity, smoking, family history, hypertension and diabetes, in addition to heterozygous familial hypercholesteremia (FH). Herein, we describe the case of a young patient with acute anteroseptal myocardial infarction and discuss the potential importance of controlling cholesterol levels in FH.J Clin Med Res. 2016;8(7):562-565doi: http://dx.doi.org/10.14740/jocmr2596w
机译:一名26岁的男性遭受了持续的胸痛。心电图显示前房壁ST段抬高,下壁ST段倒向变化。肌钙蛋白-I水平和白细胞计数升高。我们做出了急性心肌梗死的诊断。他接受了紧急冠状动脉造影,发现右冠状动脉中部狭窄狭窄90%,左冠状动脉前降支近端(LAD)完全闭塞。由于心电图显示罪魁祸首在近端LAD中,因此我们进行了经皮冠状动脉介入治疗。 LAD中的冠状动脉血流在心肌梗塞试验3中被分类为溶栓。除杂合性家族性高胆固醇血症(FH)外,他的冠状动脉危险因素还包括肥胖,吸烟,家族病史,高血压和糖尿病。在本文中,我们描述了一名患有急性前房间隔心肌梗塞的年轻患者的情况,并讨论了控制FH中胆固醇水平的潜在重要性。JClin Med Res。 2016; 8(7):562-565doi:http://dx.doi.org/10.14740/jocmr2596w

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