Recurrent myocardial infarction in a young man due to coronary arterial spasm demonstrated at autopsy

A case is presented, believed to be the first reported, describing recurrent myocardial infarction in an athletic 25-year-old man due to coronary arterial spasm, which was demonstrated at autopsy. A previous angiogram performed during life, after the first myocardial infarction, showed normal coronary arteries. The findings in this case are discussed with a review of the current knowledge pertaining to coronary arterial spasm.