Myocardial infarction without coronary artery occlusion following mental stress.

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.

• Authors: Shafeajafar Zoofaghari, Fariborz Nikaen, Shahrzad Bahramsari, Mozhdeh Hashemzadeh, Gholamali Dorooshi
• Journal: Journal of research in medical sciences : the official journal of Isfahan University of Medical Sciences (J Res Med Sci) Vol. 26 Pg. 12 ( 2021) ISSN: 1735-1995 [Print] India
• PMID: 34084191 (Publication Type: Case Reports)
• Copyright: Copyright: © 2021 Journal of Research in Medical Sciences.