tailieunhanh - Báo cáo y học: " Menstruation angina: a case report"

Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: Menstruation angina: a case report | JOURNAL OF MEDICAL Sr CASE REPORTS Case report Menstruation angina a case report Wai Kah Choo Address Cardiology Department Whipps Cross University Hospital London E11 1NR UK Email alfredwaikah@ Open Access Published 27 March 2009 Received 27 March 2008 Journal of Medical Case Reports 2009 3 6618 doi 1752-1947-3-6618 Accepted 19 December 2008 This article is available from http jmedicalcasereports article view 3 3 6618 2009 Choo licensee Cases Network Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License http licenses by which permits unrestricted use distribution and reproduction in any medium provided the original work is properly cited. Abstract Introduction Menstruation is commonly associated with migraine and irritable bowel but is rarely correlated with angina or myocardial ischaemia. Only a small number of cases have been reported suggesting a link between menstruation and myocardial ischaemic events. Case presentation A case of menstruation angina is reported in order to raise awareness of this association. A 47-year-old South Asian woman presented with recurrent chest pains in a monthly fashion coinciding with her menstruations. Each presentation was associated with troponin elevation. Angioplasty failed to resolve her symptoms but she eventually responded to hormonal therapy. Conclusions The possibility of menstruation angina should always be taken into account in any female patients from puberty to menopause presenting with recurrent chest pains. This can allow an earlier introduction of hormonal therapy to arrest further myocardial damage. Introduction While some live through menstrual cycles as part and parcel of their lives the cyclical fluctuation of sex hormones disturbs the lives of many others. To date menstruation has established effects on migraine epilepsy asthma irritable bowel syndrome and diabetes 1 . The few suffering from