Cardiopatia isquémica: Infarto de miocardio en un paciente con arterias coronarias sin lesiones obstructivas significativas: a propósito de un caso / Ischemic heart disease: myocardial infarction in a patient with coronary artery no significant obstructive lesions. Apropos of a case

RESUMEN

Presentamos el caso de un varón de 50 años con infarto agudo demiocardio sin factores comunes de riesgo coronario (Dislipidemia,Hipertensión, Síndrome Metabólico), con excepción del hábitota baquico. Que ingresó con un cuadro clínico, electrocardiográfico yenzimático de infarto agudo de miocardio. Se efectuó coronariografía con la intención de Angioplastía y/o Stent, y se encontraron lesiones coronarias mínimas. En consecuencia, solamente se indicó tratamiento médico. Se discuten los mecanismos del infarto en estepaciente...

ABSTRACT

A 50-year old man was evaluated in the cardiac clinic of the Instituto Nacional de Tórax, with myocardial infarction without common risk factors (like Dyslipidemia, Hypertension, Metabolic Syndrome), except the tobacco inhalation. He was admitted incardiac ward with the diagnosis of myocardial infarction by meansof electrocardiography, and enzimatic changes. After a few days acoronary angiography was performed with the objective of and stent implantation and there was found slight coronary lesions. There fore,he received only medical treatment. We discuss the pathophysiology of the myocardial infarction in this patient.