A case of myocardial infarction with ST segment elevation in a young patient with focal segmental glomerulonephritis (clinical observation)
S.D. MAYANSKAYA1, A.A. GILMANOV2, F.N. RIZATDINOVA2, M.M. MANGUSHEVA1, F.R. GUMEROV3 , D.M. AMINOVA1
1Kazan State Medical University of the Ministry of Health of the Russian Federation, Kazan
2Republican Clinical Hospital, Kazan
3Kazan State Medical Academy — Branch Campus of RMACPE MH Russia, Kazan
Contact:
Mayanskaya S.D. ― MD, Professor of the Department of Hospital Therapy
Address: 49 Butlerov Str., Kazan, Russian Federation, 420012, e-mail: Smayanskaya@mail.ru
In the article, we present a clinical observation of acute myocardial infarction (MI) with ST segment elevation, without Q-wave of the anterior-septal and anterior apical region of the left ventricle of the heart in a 23 y.o. patient with focal-segmental glomerulonephritis, nephrotic syndrome during treatment with glucocorticosteroids and cytostatics. Myocardial infarction was verified using an ECG and Troponin T analysis. ECG IM are presented in dynamics.
This example is used to analyze a number of controversial issues related to the features of dyslipidemia and univascular atherosclerotic lesions of the anterior interventricular branch of the left coronary artery in the presence of other intact vessels. It was noted that after percutaneous coronary angioplasty and stenting, all myocardial ECG changes completely disappeared. The relationship of chronic kidney disease with secondary dyslipidemia and ischemic heart disease in this patient is discussed.
Key words: myocardial infarction with ST segment elevation, young age, nephrotic syndrome, dyslipidemia.
(For citation: Mayanskaya S.D., Gilmanov A.A., Rizatdinova F.N., Mangusheva M.M., Gumerov F.R., Aminova D.M. A case of myocardial infarction with ST segment elevation in a young patient with focal segmental glomerulonephritis (clinical observation). Practical medicine. 2020. Vol. 18, №1, P. 120-125) DOI: 10.32000/2072-1757-2020-1-120-125
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