ST-Elevation Acute Myocardial Infarction in a Young Man
Daisuke Usuda1, Risa Tanaka1, Makoto Suzuki1
1Department of Emergency and Critical Care Medicine, Juntendo University Nerima Hospital, 3-1-10, Takanodai, Nerima-ku, Tokyo 177-8521, Japan.
Journal of Medical Cases
|July 15, 2022
Summary
This case report details a rare ST-elevation myocardial infarction (STEMI) in a 22-year-old man, highlighting the increased incidence of acute myocardial infarction (AMI) in younger individuals due to risk factors.
Area of Science:
- Cardiology
- Internal Medicine
Background:
- Acute myocardial infarction (AMI) is uncommon in young patients but shows an increasing incidence.
- Multiple cardiovascular risk factors contribute to AMI in younger demographics.
Observation:
- A 22-year-old Japanese male presented with acute anterior chest pain.
- Electrocardiogram showed ST elevation in anteroseptal leads and reciprocal ST depression.
- Coronary angiogram revealed 100% occlusion in segment 6 of the coronary artery.
Findings:
- Diagnosis of ST-elevation myocardial infarction (STEMI) was confirmed.
- Successful percutaneous coronary intervention with balloon angioplasty and drug-eluting stent placement.
- Patient discharged on day 17 post-procedure.
Implications:
- This case underscores the possibility of STEMI in young adults.
- A combination of mild risk factors and family history may precipitate atypical cardiac events.
- Highlights the importance of considering cardiovascular risk in young patients presenting with chest pain.
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