Key result
Atheromatous coronary artery disease caused an anterior ST-elevation myocardial infarction in a 24-year-old Torres Strait Islander woman, representing one of the youngest reported cases.
Case Report (n=1)
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This case highlights the rare occurrence of atheromatous coronary artery disease causing STEMI in a very young indigenous patient, emphasizing the importance of considering demographics and risk factors in chest pain evaluation.
We report the case of a 24-year-old Torres Strait Islander woman who presented to a rural hospital ED with chest pain suspicious for myocardial ischaemia and was found to have an anterior ST-elevation myocardial infarction. She was thrombolysed and transferred to a tertiary centre where subsequent angiography revealed atheromatous disease of the left anterior descending coronary artery. We believe this to be one of the youngest reported cases of myocardial infarction due to atheromatous coronary artery disease, and demonstrates important learning points regarding the demographics and risk factors of indigenous patients with chest pain.
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McIver et al. (2012) conducted a case report in Acute ST-elevation myocardial infarction (n=1). Atheromatous coronary artery disease was evaluated. Atheromatous coronary artery disease caused an anterior ST-elevation myocardial infarction in a 24-year-old Torres Strait Islander woman, representing one of the youngest reported cases.
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