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Case Reports
. 2017 Jan;30(1):59-61.
doi: 10.1080/08998280.2017.11929529.

ST-elevation acute myocardial infarction due to arterial thrombosis in a 29-year-old woman with normal coronary arteries

Eneida Male  1 , Talitha Morton  1 , Adam Farber  1 , Jeffrey Michel  1
Affiliations
Case Reports

ST-elevation acute myocardial infarction due to arterial thrombosis in a 29-year-old woman with normal coronary arteries

Eneida Male et al. Proc (Bayl Univ Med Cent). 2017 Jan.

Abstract

Acute myocardial infarction (AMI) is rare in young adults. We present a case of a 29-year-old black woman who presented with an acute onset of chest pain while sleeping. Anterior wall ST-elevation AMI was diagnosed based on clinical presentation, electrocardiographic findings, and elevated cardiac biomarkers. Coronary angiography revealed a totally occluded proximal left anterior descending artery. The obstructing lesion, thrombus, was removed. There was no evidence of atherosclerotic disease or dissection. An evaluation for a hypercoagulable state was unrevealing. Echocardiography 1 year later revealed normal left ventricular wall motion and systolic function.

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Figures

Figure 1.
Figure 1.
Initial electrocardiogram showing normal sinus rhythm, ST segment elevation in leads I, aVL, and V4 to V6, and ST segment depressions in leads III and V1.
Figure 2.
Figure 2.
Coronary angiograms showing (a) acute left anterior descending artery thrombosis and (b) left anterior descending artery after thrombectomy.
See this image and copyright information in PMC

References

    1. Egred M, Viswanathan G, Davis GK. Myocardial infarction in young adults. Postgrad Med J. 2005;81(962):741–745. - PMC - PubMed
    1. Tun A, Khan IA. Myocardial infarction with normal coronary arteries: the pathologic and clinical perspectives. Angiology. 2001;52(5):299–304. - PubMed
    1. Thomas RH. Hypercoagulability syndromes. Arch Intern Med. 2001;161(20):2433–2439. - PubMed
    1. Choudhury L, Marsh JD. Myocardial infarction in young patients. Am J Med. 1999;107(3):254–261. - PubMed
    1. Vivo RP, Krim SR. ST elevation myocardial infarction in a teenager: case report and review of the literature. South Med J. 2009;102(5):523–526. - PubMed

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