این سایت در حال حاضر پشتیبانی نمی شود و امکان دارد داده های نشریات بروز نباشند
The Journal of Tehran University Heart Center، جلد ۱۸، شماره ۳، صفحات ۲۱۴-۲۱۷
عنوان فارسی
چکیده فارسی مقاله
کلیدواژه‌های فارسی مقاله
عنوان انگلیسی A Fatal Case of Acute Thrombotic Occlusion in More Than 3 Epicardial Coronary Arteries Associated with the Yasmin Oral Contraceptive
چکیده انگلیسی مقاله We report a case of a myocardial infarction (MI) due to multiple culprit vessels in a young woman. MI caused by more than 1 culprit vessel is very rare. Oral contraceptives (OCSs) are used for birth control. Despite a few case reports, the association between the new-generation OCS use and the MI risk remains controversial. A 53-year-old woman who had been consuming combined OCS-Yasmin (30 µg of ethinyl estradiol and 3 mg of drospirenone) for 2 years was admitted to our hospital with chest pain. Her past medical history revealed no coronary risk factors except for smoking. No hemodynamic instability was noted at admission. The admission electrocardiogram revealed slight ST elevations in D1 and aVL leads. An urgent coronary angiography showed distal occlusions in the right coronary, left anterior descending, first diagonal, and left circumflex coronary arteries. Unfractionated heparin and abciximab were administered during the procedure, with the latter continued for 12 hours after the procedure. During the hospital course, the patient complained of recurrent anginal attacks. A repeat coronary angiography demonstrated the persistence of thrombotic occlusions. After 24 hours, she experienced chest pain, and her electrocardiogram revealed diffuse ST elevations with a blood pressure of 60/40 mm Hg. She was urgently transferred to the catheterization laboratory. Multiple balloon inflations with intracoronary alteplase (10 mg over 5-10 min) injections failed to restore coronary flow, and she developed cardiovascular collapse. Despite maximal mechanic and mechanical support, she passed away.  
کلیدواژه‌های انگلیسی مقاله
نویسندگان مقاله | Yavuzer Koza
Department of Cardiology, Faculty of Medicine, Atatürk University Faculty of Medicine, Erzurum, Turkey.


| Oğuzhan Birdal
Department of Cardiology, Faculty of Medicine, Atatürk University Faculty of Medicine, Erzurum, Turkey.


| Rauf Macit
Department of Cardiology, Faculty of Medicine, Atatürk University Faculty of Medicine, Erzurum, Turkey.


| Hakan Taş
Department of Cardiology, Faculty of Medicine, Atatürk University Faculty of Medicine, Erzurum, Turkey.


| Ednan Bayram
Department of Cardiology, Faculty of Medicine, Atatürk University Faculty of Medicine, Erzurum, Turkey.
نشانی اینترنتی https://jthc.tums.ac.ir/index.php/jthc/article/view/1730
فایل مقاله فایلی برای مقاله ذخیره نشده است
کد مقاله (doi)
زبان مقاله منتشر شده
موضوعات مقاله منتشر شده
نوع مقاله منتشر شده
برگشت به: صفحه اول پایگاه   |   نسخه مرتبط   |   نشریه مرتبط   |   فهرست نشریات