Key result
Autopsy of a 39-year-old woman who died suddenly after self-discharging for non-specific chest pain revealed critical three-vessel coronary artery disease with >75% LAD obstruction.
Why the study?
Coronary atherosclerosis may be underestimated in previously asymptomatic, apparently healthy young people, and 7% to 21% of sudden cardiac deaths in asymptomatic individuals aged <45 years are due to three-vessel coronary artery disease.
Population
One 39-year-old woman presenting with non-specific chest pain
Design
Case report and literature review
Authors
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Case report supports vigilant risk assessment in young chest pain patients; leaves open whether protocols need revision.
Case Report (n=1)
Highlights the importance of careful evaluation and risk communication in young patients presenting with chest pain, as severe coronary artery disease can be present even without acute ischemic signs.
Vermiglio et al. (2021) conducted a case report in Three-vessel coronary artery disease (n=1). Autopsy of a 39-year-old woman who died suddenly after self-discharging for non-specific chest pain revealed critical three-vessel coronary artery disease with >75% LAD obstruction.
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