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Acute myocardial infarction in a 16-year-old male--a case report
Basil M RuDusky1, David L Lohin
1Northeast Cardiovascular Clinic and Research Institute, Wilkes-Barre, PA, USA.
Insights
Acute myocardial infarction (AMI) is rare in teenagers, especially without risk factors. This case highlights the need for thorough cardiovascular evaluation in young patients presenting with AMI, even with normal coronary arteries.
Area of Science:
- Cardiology
- Pediatric Cardiology
- Cardiovascular Research
Background:
- Acute myocardial infarction (AMI) is exceptionally rare in adolescents.
- Typical risk factors for AMI are often absent in pediatric cases.
- Comprehensive cardiovascular assessment is crucial for diagnosing AMI in young individuals.
Observation:
- A case study of a teenage boy experiencing AMI is presented.
- The patient exhibited no familial, inherent, or external risk factors for cardiovascular disease.
- Coronary angiography revealed normal coronary arteries in the affected individual.
Findings:
- The presented case underscores the possibility of AMI in teenagers lacking conventional risk factors.
- Diagnostic evaluation involved both invasive and noninvasive cardiovascular studies.
- The etiology of AMI in this specific case remains unexplained by standard risk stratification.
Implications:
- This case emphasizes the importance of considering AMI in the differential diagnosis of chest pain in adolescents, irrespective of risk factors.
- Further research is needed to elucidate the underlying mechanisms of AMI in young, otherwise healthy individuals.
- Clinical practice should include a low threshold for advanced cardiovascular investigations in suspected pediatric AMI cases.
Abstract:
Acute myocardial infarction in the teenage years of life is a rare phenomenon. It is more rare in patients who have no risk factors or comorbid conditions and normal coronary arteries. Evaluation requires extensive investigation into the various risk factors that may be involved as well as the performance of invasive and noninvasive cardiovascular studies. A case of acute myocardial infarction in a teenage boy without familial, inherent, or extraneous risk factors is presented.