Key result
A 29-year-old woman with multiple risk factors presented with an inferior STEMI and total AV block due to atherosclerotic plaque rupture, managed conservatively due to low ventricular function.
Case Report (n=1)
This case highlights the rare but severe occurrence of STEMI in a young, postpartum female with multiple risk factors, emphasizing the need for careful evaluation and aggressive medical management even when PCI is deferred.
Myocardial infarction in young female is rare condition, but carries signifi cant morbidity and mortality.The recognition management for MI in young female is challenging due to its unspecifi c clinical presentation and lack of guidance in the current guidelines.We reported a 29-years old woman presenting with infarction type chest pain, showing ST-elevation in the inferior leads with total AV block as complication.The risk factors in this patient were smoking, family history, cardiomyopathy, and preeclampsia history.The cause for myocardial infarction in this patient was atherosclerotic plaque rupture, but we did not manage to performed coronary intervention due to her low ventricular function and unavailability data for myocardial viability at the time of hospitalization.
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Anggrahini et al. (2017) conducted a case report in ST Elevation Myocardial Infarction (n=1). A 29-year-old woman with multiple risk factors presented with an inferior STEMI and total AV block due to atherosclerotic plaque rupture, managed conservatively due to low ventricular function.
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