A 21-year-old patient with acute myardical infarction

Beijing Anzhen Hospital Capital Medical University Beijing Anzhen Hospital Capital Medical University

Cui song Zhu Xiao-ling

male, 21y,chest pain of four hour onset The electrocardiogram : ST-segment elevation in the

leads I 、 avL and V1-V6 The cardiac enzyme levels CK1793U/L,CK-MB212ng/ml,cTnI30.29ng/ml

General information

Echocardiography : anterior-lateral hypokinesia blood pressure : 120/85 mmHg, HR:78 beats/min Heart sounds were normal without a gallop sound or

significant murmur. no cardiac risk factors for coronary artery disease consistent with acute anterior-lateral myocardial infarction

appropriate treatment was instituted including low-dose aspirin 300mg,100mg,qd

loading-dose clopidogrel 300mg,75mg,qd 5%GS100ml+Diltiazem 20 mg, ivgtt,st metoprolol,12.5mg.bid, 5%GS100ml+Isosorbide Dinitrate 30mg,ivgtt Clexane 60mg,ih,q12h Enalapril,2.5mg ， qd Simvastatin, 10mg ， qn Tirofiban,7ml/h,24h,ivgtt

Admission ECG

2 hours after of admission

Urgent diagnostic coronary angiography

Urgent diagnostic coronary angiography

17 days diagnostic coronary angiography

17 days ECG

Question

Do all yang patients with acute mycardical infarction need PCI ?

Statins have been applied?The pathogenesis of this case?