MYOCARDIAL-INFARCTION IN A PREMENOPAUSAL WOMAN WITH ANGIOGRAPHICALLY NORMAL CORONARY-ARTERIES

A young pre-menopausal non-drug-addict woman without risk factors for coronary artery disease suffered from a non-Q-wave acute myocardial in farction. She presented with epigastric pain and vomiting. Diagnosis o f acute myocardial infarction was not suspected at first because of he r young age and lack of risk factors. She was treated for gastritis bu t worsening of epigastric pain and its radiation to chest warranted th e diagnosis of acute myocardial infarction, which was confirmed by ser ial serum cardiac enzymes. Subsequent coronary angiogram revealed norm al coronary arteries.