PDF(Pubmed)
Abstract：
Polycystic ovary syndrome (PCOS) is a prevalent endocrinological disorder affecting women of reproductive age, characterized by hormonal imbalances leading to metabolic and reproductive dysregulations. Acute myocardial infarction (AMI) represents a critical cardiovascular event, traditionally observed in older populations but increasingly identified in younger individuals with diverse medical backgrounds. The pursuit of assisted reproductive technology (ART) by women with PCOS to address infertility may further complicate cardiovascular risks due to the exogenous hormonal manipulations involved. This case report delineates a rare presentation of AMI in a 27-year-old vicenarian woman with PCOS undergoing ART treatment. Despite the absence of conventional cardiovascular risk factors, the patient exhibited typical symptoms and diagnostic features of AMI. Prompt recognition and intervention facilitated successful management and favorable outcomes. This case underscores the importance of considering atypical cardiovascular presentations in young women with complex medical histories, necessitating heightened awareness among healthcare providers. Multidisciplinary collaboration is imperative for comprehensive risk assessment, prevention, and tailored management strategies in this population. Further research is warranted to elucidate the intricate interplay between PCOS, ART, and cardiovascular outcomes, thereby optimizing clinical care and enhancing reproductive outcomes in this vulnerable cohort. An enhanced understanding of these relationships is essential for guiding evidence-based interventions aimed at mitigating cardiovascular risks and improving overall health outcomes in women with PCOS undergoing fertility treatments.
摘要：
多囊卵巢综合征（PCOS）是一种常见的内分泌疾病，影响育龄妇女，其特征是荷尔蒙失衡导致代谢和生殖失调。急性心肌梗死(AMI)是一种危重的心血管事件,传统上在老年人群中观察到，但在具有不同医学背景的年轻人中越来越多。PCOS女性追求辅助生殖技术（ART）以解决不孕症可能会进一步使心血管风险复杂化，因为涉及外源性激素操作。该病例报告描述了一名27岁的患有PCOS的女性接受ART治疗的罕见AMI表现。尽管没有传统的心血管危险因素，患者表现出典型的AMI症状和诊断特征.及时的认可和干预促进了成功的管理和有利的结果。该病例强调了在有复杂病史的年轻女性中考虑非典型心血管表现的重要性。需要提高医疗保健提供者的意识。多学科合作对于全面的风险评估至关重要，预防,以及在这个人群中量身定制的管理策略。需要进一步的研究来阐明PCOS之间复杂的相互作用，ART,和心血管结果，从而优化临床护理和提高生殖结果在这个脆弱的队列。加强对这些关系的理解对于指导基于证据的干预措施至关重要，这些干预措施旨在减轻接受生育治疗的PCOS妇女的心血管风险和改善整体健康结果。
