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Myocardial Infarction Without Coronary Artery Occlusion Following Mental Stress Publisher



Zoofaghari S1 ; Nikaen F2 ; Bahramsari S1 ; Hashemzadeh M3 ; Dorooshi G1
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Authors Affiliations
  1. 1. Isfahan Clinical Toxicology Research Center, Department of Clinical Toxicology, Isfahan University of Medical Sciences, Isfahan, Iran
  2. 2. Department of Cardiology, School of Medicine, Najafabad Branch, Islamic Azad University, Najafaba, Iran
  3. 3. Clinical Informationist Research Group, Health Information Research Center, Isfahan University of Medical Sciences, Isfahan, Iran

Source: Journal of Research in Medical Sciences Published:2021


Abstract

Myocardial infarction (MI) with nonobstructive coronary arteries (MINOCA) is syndrome with clinical evidence of acute MI (AMI) with normal coronary arteries. This study reports the case of a 23-year-old single woman referring to the hospital with clinical manifestations of MI, with electrocardiography findings of slow ventricular tachycardia or accelerated idioventricular rhythm and atrioventricular dissociation, and high troponin levels, which was admitted with the diagnosis of MINOCA due to mental stress (grief) and was discharged after 4 days of monitoring and following stabilization of conditions and absence of symptoms. Other causes of MINOCA ruled out through imaging studies. Mental stress can lead to MINOCA. © 2021 Journal of Research in Medical Sciences.
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