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Near-Fatal Acute Myocardial Infarction in a Young Patient With Occlusive Coronary Artery Disease

Carlson Sama1, Muchi Ditah Chobufo2, Ademola Ajibade3

  • 1Internal Medicine, West Virginia University School of Medicine, Morgantown , USA.

Cureus
|January 2, 2023
PubMed

Insights

Acute myocardial infarction (AMI) is rare in young adults and often misdiagnosed. Early consideration of AMI in young patients with chest pain is crucial for timely intervention and preventing severe outcomes.

Area of Science:

  • Cardiology
  • Internal Medicine

Background:

  • Acute myocardial infarction (AMI) in young individuals is uncommon and presents differently than in older populations.
  • Younger patients often lack traditional cardiovascular disease risk factors, increasing misdiagnosis risk.

Observation:

  • A 35-year-old male experienced new-onset chest pain resulting in cardiac arrest.
  • Coronary angiography revealed a 100% blockage in the left anterior descending (LAD) artery.

Findings:

  • The patient's critical LAD occlusion was successfully treated with a drug-eluting stent.
  • Literature review highlights the need for AMI in the differential diagnosis for young patients with chest pain.

Implications:

  • Recognizing AMI in young patients, irrespective of risk factors, is vital for reducing adverse events.
  • This case underscores the importance of considering less common diagnoses in younger demographics presenting with cardiac symptoms.

Keywords:
atherosclerosiscoronary artery diseasemyocardial infarctionpercutaneous coronary interventionyoung patient

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