[Myocardial infarction in young female smoker taking oral contraceptives]. / Zawal serca u mlodej kobiety palacej papierosy i przyjmujacej doustne srodki antykoncepcyjne.

A 41-year-old woman, heavy smoker, was admitted to the hospital post an apical myocardial infarction, which occurred 16 days before. Chest pain appeared two weeks before the infarction. There were no other cardiovascular risk factors except heavy prolonged nicotine use. She has started oral contraceptives treatment one month before MI. The patient underwent coronary angiography, which did not show any abnormalities. Left ventriculogram confirmed the apical localization of infarction. The most probable pathomechanism of MI was a coincidence of oral contraceptives use and smoking.