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Abstract
The incidence of coronary heart disease (CHD), in particular myocardial infarction (MI), among young women (up to 39 years old) has ceased to be a rarity in our region. Although symptoms of the disease in women appear 10 years later than in men, their mortality between the ages of 30 and 39 from coronary artery disease is in second place after breast cancer. Moreover, in women, 67% of all cases of sudden death in history do not have symptoms of coronary artery disease. In the development of coronary artery disease, in addition to common risk factors for men and women (smoking, arterial hypertension, dyslipoproteinemia, obesity), there are purely female risk factors - taking hormonal contraceptives, menopause, hormonal levels after menopause. The combination of smoking and the use of hormonal birth control pills increases the risk of acute MI in young women by a factor of three. We should not forget about this fact: in the first year after myocardial infarction, 39% of women and 31% of men die.
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