젊은 연령의 신증후군 환자에 발생한 심인성 쇼크를 동반한 급성 심근경색
Acute Myocardial Infarction with Cardiogenic Shock in a Young Adult with Minimal Change Disease
1
조회
0
다운로드
1
인용
0
참고문헌
키워드
초록
사회가 고령화됨에 따라 급성 심근경색의 발병률은 증가하고 있다. 하지만 젊은 연령에서 급성 심근경색의 발생은 매우 드문데 이전 보고에 따르면 35세 이하 연령에서 급성 심근경색의 발병률은 0.7%에 불과하다[1,2]. 관상동맥연축, 항인지질항체증후군, 가와사키병, 유전적 혈전기호증(hereditary thrombophilia)과 같은 질환들이 젊은 연령에서 발생하는 급성 심근경색의 원인으로 알려져 있다. 또한 신증후군에서도매우 드물게 젊은 연령에서 심근경색이 발생할 수 있다고 보고되고 있다[1,2].
Abstract
Acute myocardial infarction (AMI) is very rare in young adults. Nephrotic syndrome is an uncommon cause of AMI in young adults and is characterized by excessive proteinuria, hypoalbuminemia, hyperlipidemia, and generalized edema. The hypercoagulable state and accelerated atherosclerosis in patients with nephrotic syndrome may be associated with the development of AMI in young adults. We report herein a case of ST-segment elevation myocardial infarction with sudden cardiac arrest in a young patient with minimal change disease.
참고문헌 (9)
- Schoenenberger AW, "Acute coronary syndromes in young patients : presentation, treatment and outcome", Int J Cardiol, 148, pp.300~304 (2011)
- Osula S, "Acute myocardial infarction in young adults : causes and management", Postgrad Med J, 78, pp.27~30 (2002)
- Gigante A, "Hypercoagulability and nephrotic syndrome", Curr Vasc Pharmacol, 12, pp.512~517 (2014)
- Waldman M, "Adult minimal-change disease : clinical characteristics, treatment, and outcomes", Clin J Am Soc Nephrol, 2, pp.445~453 (2007)
- Ordoñez JD, "The increased risk of coronary heart disease associated with nephrotic syndrome", Kidney Int, 44, pp.638~642 (1993)
- Curry RC Jr, "Status of the coronary arteries in the nephrotic syndrome. Analysis of 20 necropsy patients aged 15 to 35 years to determine if coronary atherosclerosis is accelerated", Am J Med, 63, pp.183~192 (1977)
- Karabay CY, "Acute inferior myocardial infarction with nephrotic syndrome", Am J Emerg Med, 30, pp.260~ (2012)
- Nigond J, "Carotid artery thrombosis and myocardial infarction in nephrotic syndrome", Arch Mal Coeur Vaiss, 83, pp.105~108 (1990)
- Suryawanshi SP, "Myocardial infarction in children : two interesting cases", Ann Pediatr Cardiol, 4, pp.81~83 (2011)