UNUSUAL CASE OF NON-ST ELEVATED MYOCARDIAL INFARCTION IN A MIIDDLE-AGED FEMALE; A CASE REPORT.

Abstract

Fibromuscular dysplasia (FMD) is a non-atherosclerotic, non-inflammatory disease that affects any artery of the body.

 We report a case of non-ST elevated myocardial infarction (N-STEMI) in a 60-year-old female who had a past history of hypertension, type 2 diabetes, and hyperlipidemia. She presented to the emergency department with dyspnea and chest pain of 1-day duration. The electrocardiogram showed inferior ischemia. A coronary angiogram showed spontaneous coronary artery dissection (SCAD). Magnetic resonance angiography (MRA) of the renal arteries and brain displayed distal stenosis in the right renal artery and middle cerebral artery aneurysms. The patient was treated conservatively and followed up.

Vascular, renovascular, and cerebrovascular manifestations are common in FMD. This case showcases both the common and uncommon presentations of the disease, most notably it highlights the systemic manifestations of FMD.