The acute heart attack with the low cardiovascular risk: the disturbanse of the prandial carbohydrate metabolism and the other unrecorded factors

• Alexander S. Ametov
• Udovichenko А.Е.
• Gilyarov M.Yu.
• Makhnyr E.F.
• Nesterov A.P.
• Liudmila L. Kamynina

AbstractThe paper is devoted to the analysis of the case of the atypical acute myocardial infarction at the patient with the low cardiovascular risk and without the family history of cardiovascular events. It was shown that the development of the atypical acute myocardial infarction was caused by the multiple factors - the multifocal atherosclerosis, the isolated 1 hour-postprandial hyperglycemia (prediabetes) and the myocardial bridging (frequent in the population), which predetermined features of the subsequent therapeutic strategies associated with diet therapy, hypoglycemic and hypolipidemic therapy and also endovascular stenting and balloon angioplasty.

Keywords:diabetes mellitus, 1-hour post-load plasma glucose level, prediabetes, dyslipidemia, atherosclerosis, balloon angioplasty, stenting, atypical myocardial infarction, myocardial bridging, religious fasting

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