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Premature Coronary Artery Disease Presenting as STEMI in a Teenager

Morni Modi1, Paul Ndunda1, Kalgi Modi1

  • 1LSU Health Shreveport, LA, USA.

Journal of Investigative Medicine High Impact Case Reports
|January 25, 2025
PubMed

Insights

A young patient with cardiovascular disease risk factors experienced chest pain due to a blocked artery. Prompt stenting resolved the blockage and myocardial infarction, leading to full recovery.

Area of Science:

  • Cardiology
  • Vascular Medicine

Background:

  • Atherosclerotic cardiovascular disease (ASCVD) is increasingly recognized in younger populations.
  • Significant ASCVD risk factors in adolescents warrant careful evaluation for premature cardiac events.

Purpose of the Study:

  • To report a case of acute myocardial infarction in an 18-year-old with ASCVD risk factors.
  • To highlight the diagnostic and therapeutic approach for premature coronary artery thrombosis.

Main Methods:

  • Case report of an 18-year-old male presenting with acute chest pain.
  • Diagnostic workup included electrocardiogram and coronary angiogram.
  • Intervention involved percutaneous coronary intervention (PCI) with stenting.

Main Results:

  • The patient presented with ST-segment elevation myocardial infarction.
  • Coronary angiogram revealed a thrombotic occlusion of the right coronary artery.
  • Successful stenting resulted in complete clinical recovery and resolution of ECG abnormalities.

Conclusions:

  • Acute myocardial infarction can occur in young individuals with significant ASCVD risk factors.
  • Early diagnosis and timely revascularization are crucial for favorable outcomes in young patients with coronary artery thrombosis.

Keywords:
LDL cholesteroldiabetes mellitushyperlipidemiamyocardial infarctionobesitypremature cardiovascular diseasestatins

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