Myocardial Infarction in a Young Indian Grandmultipara

Abstract

EDITORIAL COMMENT: We accepted this case report forpublication to remind readers that nyocam'ial infarction or ischaemia can occur in women in the reproductive age group. In the [1988][1989][1990] triennium in Australia there were 33 indirect maternal deaths, in 3 of which myocardial infarction or ischaemia was the primary cause. CASE REPORTA 36-year-old gravida 7 para 5 Indian female was admitted for investigation of prolonged retrosternal chest pain and vomiting. She had noted similar pains at rest and occasionally during exertion for the past 2 yearsdoctors had attributed this to 'gastritis'. On the day of admission she had been treated in another hospital for peptic ulcer disease and as her symptoms did not improve she sought a second opinion in our hospital.On examination she was noted to be obese. Her plasma cholesterol value was elevated (7.4 mmol/l,