Highlights the importance of awareness and repeated investigations for diagnosing myocardial infarction in young patients with atypical presentations.
Prompts consideration of MI in young patients with atypical symptoms; leaves open generalizability of PCI success from this single case.
We present the case of a 25 years old patient who was submitted to our unit with a first time acute coronary syndrome. Despite his young age he had multiple cardiovascular risk factors. Although the chest pain was atypical and the electrocardiogram on presentation had unspecific changes, repeated investigations established the diagnosis of anterolateral myocardial infarction. Per primam angioplasty with stent implantation in the proximal segment of left anterior descending artery was performed, with good clinical outcome. Awareness is the key in establishing the diagnosis of myocardial infarction in young patients.
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Cristina et al. (2018) studied this question.
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