[Acute myocardial infarct in a 15-year-old patient]

The authors present the case-history of a 15-year-old sportsman with acute "non Q" myocardial infarction. The disease is associated with excessive physical strain and subsequent protracted paroxysm of supraventricular tachycardia with severe hypotension. The paper is supplemented by ECG tracings and laboratory findings, echocardiographic, scintigraphic, coronarographic and other examinations. Pathological changes of the coronary arteries, or preexisting metabolic disease or myocardial disease, valvular defects or congenital anomalies were not confirmed. The authors draw attention to the possible occurrence of myocardial infarction also in very young subjects as a result of excessive physical strain along with other possible pathogenetic mechanisms.