The aetiology of myocardial infarction in young people. with special regard to nonpenetrating chest injury, oral contraceptives, smoking
Zimmermann, K.G.; Keiser, G.; Schönbeck, M.
Schweizerische Rundschau für Medizin Praxis 64(50): 1607-1611
1975
ISSN/ISBN: 1013-2058 PMID: 1215317 Document Number: 94195
Myocardial infarct in a 37-year-old woman treated with oral contraceptives (.1 mg mestranol and 1 mg ethynodiol diacetate) for 6 years is reported. The patient had received chest bruises in an auto accident 10 weeks before the infarct, but had experienced no pain at the time and had required no medical treatment. She noted chest pain, which disappeared after a short time, some 8 weeks after the accident. 10 weeks after the accident, she presented with typical signs of myocardial infarct; treatment included digitalis, diuretics, and a anticoagulants. Except for slight overweight and smoking (15 cigarettes daily) the patient had no heart risk factors. Coronary angiography revealed isolated subtotal stenosis of the left anterior descending artery. The etiology of the infarct is discussed.