Daniela Kantárová, Margita Belicová, Dana Prídavková, Ján Dvorský, Marián Mokáň
The authors describe a case of a 40-year-old woman with untreated hypertension, smoker, with positive familial history of type 2 diabetes mellitus, negative for cardiovascular diseases who was admitted to coronary unit for 1 hour lasting stenocardias with ECG picture of acute anteroseptolateral heart attack with elevations ST. After administration of tissue plasminogen activator successful reperfusion was achieved, however, the course was complicated by failure of the heart as a pump. Early selective coronarography revealed open, hemodynamically not significant stenosis of infarction artery: the middle part of ramus interventricularis anterior. At the beginning of her hospitalization hyperglycemia treated with insulin dominated. High level of glycohemoglobin and diabetic retinopathia on eyeground revealed a long-term type 2 diabetes that was neither diagnosed nor treated. Diabetic cardiomyopathia was very likely the cause of failure of the heart as a pump.