Abstract

AbstractThere is an increasing trend of myocardial infarction (MI) among the young population. There exist various causes for this trend, as the pathogenesis of increased MI could be atheromatous, nonatheromatous, or hypercoagulable, and involve substance misuse. Here, we report a case of a 32-year-old female patient presented with coronary thrombosis; on evaluation, she was found to have hyperprolactinemia with no other causes of coronary thrombosis. Hyperprolactinemia is a rare cause of recurrent coronary thrombosis. Prolactin levels are even elevated in MI but they return to normal values in 2 to 4 weeks; however, this patient experienced a persistent elevation of prolactin levels with no signs of pituitary adenoma, so there is a possibility that elevated prolactin levels could cause coronary thrombosis.

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