• Ann Fr Anesth Reanim · Nov 2002

    [Myocardial infarction in AIDS].

    • J L Aim, B Orlando, D Cantin-Bertaux, and J L Pourriat.
    • Service des urgences médicochirurgicales, Hôtel-Dieu, place du Parvis-Notre-Dame, 75004 Paris, France.
    • Ann Fr Anesth Reanim. 2002 Nov 1; 21 (9): 741-3.

    AbstractWe report two cases of myocardial infarction, in young HIV positive patients seen in the Emergency Department. These patients were under treatments: for one, an association of nucleosidic inhibitors, and for the other one, the combination of nucleosic analogue inhibitor with a non nucleosic analogue; in the last case, the patient underwent, few months before, a treatment containing a protease inhibitor. In both cases, the pain wasn't typical and didn't refer to a coronary heart disease. Lipid tests were normal. The diagnosis has been made quickly and allows a coronary angioplasty with a favourable issue. Authors are arguing the characteristics of this cardiac pathology, recently discovered in HIV positive patients, and do insist on the need to think at a coronary heart disease in front of any chest pain symptom even unusual.

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