Abstract
Delayed diagnosis of coronary artery disease in young patients after cardiac arrest of unknown origin could increase the risk of death in further diagnostic and therapeutic process. Familial history of premature coronary atherosclerosis and hypercholesterolemia could help in proper diagnosis and treatment. We present a case of a 29-year-old female admitted to the catheterization laboratory with cardiogenic shock and multivessel coronary artery disease treated successfully with multivessel percutaneous coronary intervention and intra-aortic balloon counterpulsation as a bridge to extracorporeal membrane oxygenation.
Highlights
Familial hypercholesterolemia (FH) is one of the most common causes of premature coronary atherosclerosis and, in consequence, major cardiovascular events but still very often remains unrecognized early enough and is not treated properly
Based on the presented case of a young woman being treated at our department due to acute myocardial infarction (MI) complicated by cardiogenic shock (CS), we would like to draw attention to several recently discussed problems in cardiology: firstly, severe cardiovascular complications due to undiagnosed FH at a young age; secondly, the cardiac diagnostic process of patients after sudden cardiac arrest; thirdly, the issue of noninfarct related artery (IRA) revascularization in acute MI; and the role of intra-aortic balloon counterpulsation (IABP) in CS as a bridge to extracorporeal membrane oxygenation (ECMO)
A 29-year-old female was admitted to the emergency department (ED) after sudden cardiac arrest at home followed by effective resuscitation
Summary
Familial hypercholesterolemia (FH) is one of the most common causes of premature coronary atherosclerosis and, in consequence, major cardiovascular events but still very often remains unrecognized early enough and is not treated properly. Based on the presented case of a young woman being treated at our department due to acute myocardial infarction (MI) complicated by cardiogenic shock (CS), we would like to draw attention to several recently discussed problems in cardiology: firstly, severe cardiovascular complications due to undiagnosed FH at a young age; secondly, the cardiac diagnostic process of patients after sudden cardiac arrest; thirdly, the issue of noninfarct related artery (IRA) revascularization in acute MI; and the role of intra-aortic balloon counterpulsation (IABP) in CS as a bridge to extracorporeal membrane oxygenation (ECMO)
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