摘要A70-year-old female with no previous cardiac history presented with complaints of severe chest and back pain lasting for 20 minutes.She had a past history of type 2 diabetes mellitus for five years and hypertension for twenty years,but denied a history of hyperlipidemia,smoking or hemorrhagic disorder.There was no family history of coronary artery or hematologic disease.On physical examination,the blood pressure was 145/90 mmHg and the heart rate was 102 beats/min.Cardiac examination revealed normal S1 and S2 sounds.There were no murmors or clicks.The lungs were clear on auscultation.Hepatosplenomegaly or lymphadenopathy was not detected.Her electrocardiogram showed ST elevations in lead V1-V6,consistent with acute anterior MI and echocardiogram supported the diagnosis with a slight reduction in wall motion in the anterior region.