A 16-year-old with ST elevation myocardial infarction: case report and review of the literature

Abstract

Chest pain in young adults presents a unique diagnostic challenge, placing young patients at an increased risk to be misdiagnosed, as this patient population typically does not demonstrate the traditional risk factors associated with cardiovascular disease. This study details the case of a 16-year-old male who presented with new-onset chest pain and ST elevation on electrocardiogram. His history was unremarkable for known cardiac risk factors, but laboratory evaluation demonstrated markedly elevated troponins and electrocardiographic findings confirmed ST-segment elevation myocardial infarction. Coronary angiography demonstrated 100% occlusion of the left anterior descending artery, which was managed with percutaneous transluminal coronary angioplasty, thrombectomy, and bare-metal stenting. The patient had an uneventful recovery. This study examines the major causes of ST elevation myocardial infarction in young adults and reviews the major differences between younger and older myocardial infarction populations with emphasis on risk factor profile, pathophysiological mechanisms, clinical presentation, angiographic findings, and prognosis. This review highlights the need for consideration of a wide differential in younger subsets of the population presenting with chest pain and ST elevation. The implementation of current adult management protocols and guidelines for ST elevation myocardial infarction should not be overlooked due to age. Given the potential for premature death and long-term disability with resulting individual and societal consequences, it is crucial to understand the importance of correct diagnostic evaluation in this clinical scenario.

Myocardial Infarction in an Adolescent Fontan Patient Who Consumed Energy Drinks on a Daily Basis and Stopped Thromboprophylaxis: A Case Report

“…Excessive intake of energy drinks have previously been reported to be associated with various cardiovascular impairments, including cardiac arrhythmias, prolonged QT interval and myocardial ischemia and infarction [14]. In the case of myocardial ischemia, evidence is still limited to a few case reports [6,[15][16][17]. A small prospective study demonstrated the detrimental effects of energy drinks on platelet and endothelial function most notable an acute increase of platelet aggregation and a decrease of endothelial function.…”

Инфаркт Миокарда У Молодых Людей

“…Остання, що виникла внаслідок поєднаної дії двох токсичних чинників (текіли та марихуани), маскувала клінічні прояви гострого коронарного синдрому, який трансформувався в гострий ІМ. У подібних випадках існує ризик неправильної діагностики, оскільки зазвичай відсутні поширені чинники ризику, пов'язані із серцево-судинними захворюваннями [14].…”

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

“…We herein discuss the case of a previously healthy 35-year-old man who presented with ST-segment elevation myocardial infarction and was found to have 100% occlusive CAD. This is generally an uncommon event when compared to the elderly, with few cases reported globally [ 4 , 5 ].…”