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Updated: Mar 13, 2026

A Precision Medicine Tool for Measurement and Monitoring of Hemoglobin S in Sickle Cell Disease Patients Receiving Transfusion Therapy
Acute myocardial infarction in a patient with sickle cell trait
Oğuz Akkuş1, Mustafa Topuz2, Ali Deniz3
1Department of Cardiology, Adana Numune Training and Research Hospital, Adana, Turkey.
Insights
Sickle cell trait (HbAS) can rarely cause acute myocardial infarction in young adults. Prompt treatment restored blood flow and relieved symptoms in a recent case.
Area of Science:
- Cardiology
- Hematology
- Genetics
Background:
- Sickle cell trait (HbAS) is generally considered benign.
- Myocardial infarction (MI) in young adults is uncommon and often associated with traditional risk factors.
Observation:
- A young adult patient presented with acute inferior myocardial infarction.
- Coronary angiography revealed microemboli in the circumflex artery.
Findings:
- Sickle cell trait (HbAS) was identified as the underlying pathology.
- Treatment with anticoagulant and anti-aggregant therapies successfully restored coronary artery flow.
- The patient's ST segments normalized, and symptoms resolved.
Implications:
- This case highlights a rare but serious complication of HbAS.
- It underscores the importance of considering HbAS in young MI patients.
- Early diagnosis and management are crucial for favorable outcomes in such cases.
Abstract:
Presently described is the rare complication of sickle cell trait (HbAS) with acute inferior myocardial infarction in a young adult patient. Angiogram revealed microemboli in the distal thin segment of the circumflex (Cx) artery. Anticoagulant and anti-aggregant therapies were initiated to restore Cx artery flow. HbAS was detected as an underlying pathology. ST segments returned to the isoelectric line and the patient became asymptomatic.
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