actabiomedicaActa Biomedica ScientificaActa Biomedica Scientifica2541-94202587-9596Scientific Centre for Family Health and Human Reproduction Problemsactabiomedica-815Research ArticleКЛИНИЧЕСКАЯ МЕДИЦИНАCLINICAL MEDICINEСЛУЧАЙ Q-ВОЛНОВОГО ИНФАРКТА МИОКАРДА У ЖЕНЩИНЫ 35 ЛЕТTHE CASE OF Q-WAVE MYOCARDIAL INFARCTION IN A 35-YEARS-OLD FEMALEТаштаналиевА. Б.TashtanalievA. B.tashtanaliev@inbox.ruОбразцоваМ. К.ObraztsovaM. K.noemail@neicon.ruБыковЕ. О.BykovO. E.noemail@neicon.ruПавловаА. Г.PavlovaA. G.noemail@neicon.ruМАУЗ «Клиническая больница № 1», ИркутскClinical Hospital N 1, Irkutsk20122804201202(2)5457Copyright © Таштаналиев А.Б., Образцова М.К., Быков Е.О., Павлова А.Г., 20122012Таштаналиев А.Б., Образцова М.К., Быков Е.О., Павлова А.Г.Tashtanaliev A.B., Obraztsova M.K., Bykov O.E., Pavlova A.G.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.actabiomedica.ru/jour/article/view/815

В данной работе представлен клинический случай Q-волнового инфаркта миокарда у молодой женщины. 35 лет.. Пациентка предъявляла жалобы, на боли, нехарактерные для стенокардии. В этой связи первоначальный диагноз был выставлен неверно. Через 3 месяца был диагностирован инфаркт, миокарда в стадии рубцевания. Для. определения дальнейшей, тактики, лечения, была проведена коронароангиография. и. рекомендовано стентирование критического стеноза передней нисходящей артерии. Для. профилактики, подобных случаев следует, рутинно использовать метод электрокардиографии, во всех случаях болевого синдрома в области шеи, грудной клетки, у молодых женщин.

The article presents a case of Q-wave myocardial infarction, in a young woman of 35 years old. The patient complained. of pains not typical for angina pectoris. Therefore, the initial diagnosis was incorrect. After 3 months myocardial infarction, of cicatrization, stage was diagnosed. For definition, of further tactics of treatment we used, coronary angiography and recommended, stenting of critical stenosis on left anterior descending artery. For prophylactics of this case electrocardiography should, be routinely used, in all the cases of pain in the neck and. thorax in young women.

ишемическая болезнь сердца у молодых женщинэлектрокардиографиякоронароангиографияQ-волновой инфаркт миокардаcoronary heart disease in young womenQ-wave myocardial infarctionelectrocardiographycoronary angiographyReferencesКлинический случай: инфаркт миокарда у пациентки 32 лет, страдающей дерматомиозитом / О.О. Шахматова, Ю.Ю. Курбатова, Т.В. Попкова [и др.] // Кардиологический вестник. - 2010. -Т. XVII, № 2. - C. 87-94.Клинический случай: инфаркт миокарда у пациентки 32 лет, страдающей дерматомиозитом / О.О. Шахматова, Ю.Ю. Курбатова, Т.В. Попкова [и др.] // Кардиологический вестник. - 2010. -Т. XVII, № 2. - C. 87-94.-year-old woman, 3 weeks post partum, with substernal chest pain / S.S. Marc, A.J. Farouc, P.N. Staats [et al.] // N. Engl. J. Med. - 2010. -Vol. 363. - P. 1164-1173.-year-old woman, 3 weeks post partum, with substernal chest pain / S.S. Marc, A.J. Farouc, P.N. Staats [et al.] // N. Engl. J. Med. - 2010. -Vol. 363. - P. 1164-1173.Arnold A.Z., Moodie D.S. Coronary artery disease in young women: risk factor analysis and long-term follow-up // Cleve Clin. J. Med. - 1993. -Vol. 60. - P. 393-398.Arnold A.Z., Moodie D.S. Coronary artery disease in young women: risk factor analysis and long-term follow-up // Cleve Clin. J. Med. - 1993. -Vol. 60. - P. 393-398.Charney P. Coronary artery disease in women: what all physicians need to know // Philadelphia: American College of Physicians. - 1999. - 615 p.Charney P. Coronary artery disease in women: what all physicians need to know // Philadelphia: American College of Physicians. - 1999. - 615 p.Chest pain in women: clinical, investigative, and prognostic features / A.K. Sullivan, D.R. Holdright, C.A. Wright [et al.] // BMJ. - 1994. - Vol. 308. -P. 883-886.Chest pain in women: clinical, investigative, and prognostic features / A.K. Sullivan, D.R. Holdright, C.A. Wright [et al.] // BMJ. - 1994. - Vol. 308. -P. 883-886.Comparison of presentation, treatment, and outcome of acute myocardial infarction in men versus women (the Myocardial Infarction Triage and Intervention Registry) / P.J. Kudenchuk, C. Maynard, J.S. Martin [et al.] // Am. J. Cardiol. - 1996. -Vol. 78. - P. 9-14.Comparison of presentation, treatment, and outcome of acute myocardial infarction in men versus women (the Myocardial Infarction Triage and Intervention Registry) / P.J. Kudenchuk, C. Maynard, J.S. Martin [et al.] // Am. J. Cardiol. - 1996. -Vol. 78. - P. 9-14.Double vessel extension of spontaneous left main coronary artery dissection in young women treated with thrombolysis / I. Zupan, M. Noc, D. Trinkaus, M. Popovic // Catheter Cardiovasc. Interv. - 2001. - Vol. 52. - P. 226-230.Double vessel extension of spontaneous left main coronary artery dissection in young women treated with thrombolysis / I. Zupan, M. Noc, D. Trinkaus, M. Popovic // Catheter Cardiovasc. Interv. - 2001. - Vol. 52. - P. 226-230.Douglas P.S., Ginsburg G.S. The evaluation of chest pain in women // N. Engl. J. Med. - 1996. -Vol. 334. - P. 1311-1315.Douglas P.S., Ginsburg G.S. The evaluation of chest pain in women // N. Engl. J. Med. - 1996. -Vol. 334. - P. 1311-1315.Lookman L., Lange R., Schulman S. Acute myocardial infarction in two young women without significant risk factors // J. Invas. Cardiol. - 2009. -Vol. 21. - P. 3-5.Lookman L., Lange R., Schulman S. Acute myocardial infarction in two young women without significant risk factors // J. Invas. Cardiol. - 2009. -Vol. 21. - P. 3-5.Myocardial infarction in young adults: angiographic characterization, risk factors and prognosis (Coronary Artery Surgery Study Registry) / F.H. Zimmerman, A. Cameron, L.D. Fisher [et al.] // J. Am. Coll. Cardiol. - 1995. - Vol. 26. -P. 654-661.Myocardial infarction in young adults: angiographic characterization, risk factors and prognosis (Coronary Artery Surgery Study Registry) / F.H. Zimmerman, A. Cameron, L.D. Fisher [et al.] // J. Am. Coll. Cardiol. - 1995. - Vol. 26. -P. 654-661.Schey R., Villarrea A.L., Fass R. Differential diagnosis of noncardiac chest painin adults. Noncardiac chest pain: current treatment // Gastroenterol. Hepatol. - 2007. - Vol. 3, N 4. - P. 255-262.Schey R., Villarrea A.L., Fass R. Differential diagnosis of noncardiac chest painin adults. Noncardiac chest pain: current treatment // Gastroenterol. Hepatol. - 2007. - Vol. 3, N 4. - P. 255-262.Spontaneous coronary artery dissection: case report and review of literature / A. Lodha, N. Mirsakov, B. Malik, J. Shani // South. Med. J. - 2009. -Vol. 102. - P. 315-317.Spontaneous coronary artery dissection: case report and review of literature / A. Lodha, N. Mirsakov, B. Malik, J. Shani // South. Med. J. - 2009. -Vol. 102. - P. 315-317.Spontaneous coronary artery dissection associated with oral contraceptive use: A case report and review of the literature / D. Evangeloua, K.P. Letsasa, P. Korantzopoulos [et al.] // Int. J. Cardiol. - 2006. - Vol. 112. - P. 380-382.Spontaneous coronary artery dissection associated with oral contraceptive use: A case report and review of the literature / D. Evangeloua, K.P. Letsasa, P. Korantzopoulos [et al.] // Int. J. Cardiol. - 2006. - Vol. 112. - P. 380-382.Steinhauer J.R., Caulfield J.B. Spontaneous coronary artery dissection associated with cocaine use: A case report and brief review // Cardiovasc. Pathol. - 2001. - Vol. 10. - P. 141-145.Steinhauer J.R., Caulfield J.B. Spontaneous coronary artery dissection associated with cocaine use: A case report and brief review // Cardiovasc. Pathol. - 2001. - Vol. 10. - P. 141-145.Why is diabetes mellitus a stronger risk factor for fatal ischemic heart disease in women than in men? The Rancho Bernardo Study / E.L. Barrett-Connor, B.A. Cohn, D.L. Wingard [et al.] // JAMA. - 1991. -Vol. 265. - P. 627-631.Why is diabetes mellitus a stronger risk factor for fatal ischemic heart disease in women than in men? The Rancho Bernardo Study / E.L. Barrett-Connor, B.A. Cohn, D.L. Wingard [et al.] // JAMA. - 1991. -Vol. 265. - P. 627-631.

The authors declare that there are no conflicts of interest present.