Infarto agudo do miocárdio e artérias coronárias não obstrutivas: um relato de caso
Acute myocardial infarction and non-obstructive coronary arteries: a case report
Raquel Caroline Andrade Paiva, Mariani Corrêa Mendes, Raissa F. Guimarães Dias Soares, Ricardo Gomes Camacho, Álvaro de Aquino Junior
Resumo
O infarto do miocárdio com artérias coronárias não obstrutivas (MINOCA) é um evento raro e de difícil diagnóstico. Devido à raridade dessa patologia, este trabalho descreve o caso de uma paciente de 61 anos tratada pelo serviço de terapia intensiva do Complexo Hospitalar Padre Bento de Guarulhos, que evoluiu com quadro raro de síndrome MINOCA durante internação secundária a hemorragia subaracnoidea. A angiocoronariografia não evidenciou obstrução coronariana significativa. A paciente apresentou melhora clínica e teve alta após 48 horas, com encaminhamento para seguimento ambulatorial cardiológico e realização de ressonância magnética cardíaca.
Palavras-chave
Abstract
Myocardial infarction with non-obstructive coronary arteries (MINOCA) is a rare event that is difficult to diagnose. Given the rarity of this condition, we report the case of a 61-year-old patient who was treated in the intensive care unit of the Padre Bento Hospital Complex in Guarulhos, Brazil, who developed a rare case of MINOCA syndrome during hospitalization for subarachnoid hemorrhage. Coronary angiography did not show significant coronary artery obstruction. The patient showed clinical improvement and was discharged after 48 hours, with recommendations for outpatient cardiology follow-up and cardiac magnetic resonance imaging.
Keywords
Referências
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Submetido em:
23/03/2020
Aceito em:
18/04/2024
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