Document Detail

Acute myocardial infarction triggered by acute intense stress in a patient with panic disorder.
MedLine Citation:
PMID:  18497557     Owner:  NLM     Status:  MEDLINE    
Psychosocial stresses are associated with an increased risk for acute myocardial infarction (AMI). We report a 35-year-old male patient who developed AMI after acute psychological trauma. He presented with chest pain that began after being involved in a fight. He was extremely agitated. He did not have any risk factors for coronary disease except for panic disorder which was diagnosed six years before. Cardiac enzymes were found elevated. His electrocardiogram (ECG) showed ST-segment elevation in leads V2-6. After thrombolytic therapy with tissue plasminogen activator, his chest pain relieved and ST elevations on ECG regressed. Coronary angiography showed normal coronary arteries. Acute extraordinary stress may be responsible for AMI in this young patient as a result of sympathetic hyperactivity and coronary vasospasm.
Ismail Biyik; Vedat Yagtu; Oktay Ergene
Related Documents :
19718697 - An algorithm to identify incident myocardial infarction using medicaid data.
10404857 - Electrocardiographic criteria for predicting the culprit artery in inferior wall acute ...
14770027 - Coronary stenting in an elderly patient with an acute myocardial infarction at left mai...
18572027 - Effect of invasive coronary revascularization in acute myocardial infarction on subsequ...
21745227 - Assessment of atrial conduction time in patients with coronary artery ectasia.
22878807 - Disruption of atherosclerotic neointima seven years after bare metal stent deployment.
Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Türk Kardiyoloji Derneği arşivi : Türk Kardiyoloji Derneğinin yayın organıdır     Volume:  36     ISSN:  1016-5169     ISO Abbreviation:  Turk Kardiyol Dern Ars     Publication Date:  2008 Mar 
Date Detail:
Created Date:  2008-05-23     Completed Date:  2008-08-14     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9426239     Medline TA:  Turk Kardiyol Dern Ars     Country:  Turkey    
Other Details:
Languages:  eng     Pagination:  111-5     Citation Subset:  IM    
Department of Cardiology, Uşak State Hospital, Uşak, Turkey.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Angina Pectoris / etiology
Coronary Angiography
Diagnosis, Differential
Myocardial Infarction / blood,  complications,  diagnosis*,  drug therapy,  radiography,  ultrasonography
Panic Disorder / complications*
Thrombolytic Therapy

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

Previous Document:  Bilateral coronary artery-pulmonary artery fistulas in a case with unstable angina pectoris
Next Document:  Dual left anterior descending coronary artery: a case report