A case of acute myocardial infarction in a young patient with a newly diagnosed nephrotic syndrome

A. Maksudova, T. Khalfina, G. Nurullina, O. Fakhrutdinova, G. Islamova, A. F. Khidiyatova, S. M. Levina, YU. A. K Kokorina
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Abstract

Thromboembolic complications in nephrotic syndrome (NS) are frequently encountered in the practice of a nephrologist and in many cases determine the course and outcome of diseases. The article presents a clinical case of acute ST-segment elevation myocardial infarction with Q tooth of posterior basal, lateral localization in a 36-year-old patient with a newly diagnosed nephrotic syndrome. In the young patient without a history of cardiovascular risk factors, coronary angiography revealed signs of progressive atherosclerotic stenosis of the coronary arteries, and the cause of MI was thrombotic occlusion of the enveloping branch of the left coronary artery. This clinical case required a more detailed study; the examination revealed a set of factors that led to MI in this young patient.
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一例急性心肌梗死的年轻患者与新诊断的肾病综合征
肾病综合征(NS)的血栓栓塞性并发症在肾病科医生的实践中经常遇到,在许多情况下决定了疾病的过程和结果。本文报告一例36岁新诊断肾病综合征的急性st段抬高型心肌梗死伴后基侧定位Q牙的临床病例。无心血管危险因素史的年轻患者,冠状动脉造影显示冠状动脉进行性粥样硬化性狭窄征象,左冠状动脉包膜支血栓闭塞导致心肌梗死。该临床病例需要更详细的研究;检查揭示了导致该年轻患者发生心肌梗死的一系列因素。
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