Author/Authors :
Zoofaghari, Shafeajafar Department of Clinical Toxicology - Isfahan University of Medical Sciences - Isfahan, Iran , Nikaen, Fariborz Department of Cardiology - School of Medicine - Najafabad Branch - Islamic Azad University - Najafaba, Iran , Bahramsari, Shahrzad Department of Clinical Toxicology - Isfahan University of Medical Sciences - Isfahan, Iran , Hashemzadeh, Mozhdeh Isfahan University of Medical Sciences - Isfahan, Iran , Dorooshi, Gholamali Department of Clinical Toxicology - Isfahan University of Medical Sciences - Isfahan, Iran
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.
Keywords :
Coronary artery , myocardial infarction , stress , troponin
