Key result
Takayasu's arteritis presenting as left main AMI highlights systemic causes of ACS in young women.
Why the study?
Acute myocardial infarction is rare in young women, but Takayasu's arteritis is a major cause that requires consideration in this population.
Case Report (n=1)
Answers are grounded in this paper and cite their sources.
Systemic diseases like Takayasu's arteritis must be considered in young women presenting with acute coronary syndrome.
We herein report the case of a 25-year-old Japanese woman with left-main-trunk acute myocardial infarction (LMT-AMI). She had cardiogenic shock, so emergency percutaneous intervention was performed. Intravascular ultrasound of LMT-AMI showed that the three-layered structure of the intima, tunica media, and adventitia was not clearly visible, and the vessel was concentrically thickened; unstable plaque and calcification were not seen. AMI is rarely seen in young women, but Takayasu's arteritis is one major cause. If a young woman complaining of typical chest pain as acute coronary syndrome is encountered, systemic diseases must be considered.
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Ishiyama et al. (2018) conducted a case report in Left-main-trunk acute myocardial infarction (LMT-AMI) and Takayasu's arteritis (n=1). Emergency percutaneous intervention was evaluated. A 25-year-old woman with Takayasu's arteritis presented with left-main-trunk acute myocardial infarction, highlighting the need to consider systemic diseases in young women with acute coronary syndrome.
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