Key result
A 12-year-old previously healthy boy with acute myocardial infarction and normal coronary arteries recovered successfully with no complications detected at 1-year follow-up after comprehensive medical therapy.
Case Report (n=1)
No
Coronary artery spasm should be considered as a rare but important cause of myocardial infarction in previously healthy children with normal coronary arteries.
The development of acute myocardial ischemia in a child with structurally normal coronary arteries is rarely described in medical literature. Myocardial infarction in a pediatric patient group with angiographically normal coronary arteries could occur because of hypercoagulable states in nephrotic syndrome and antiphospholipid syndrome. The following case report highlights rare but important causes of myocardial infarction in a previously healthy child with normal coronary arteries - coronary artery spasm, with a good outcome.
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Kukhtinova et al. (2018) conducted a case report in Acute myocardial infarction (n=1). Comprehensive medical therapy (bisoprolol, perindopril, aspirin, clopidogrel, amlodipine, spironolactone, trimetazidine) was evaluated on Clinical and echocardiographic outcomes at 12 months. A 12-year-old previously healthy boy with acute myocardial infarction and normal coronary arteries recovered successfully with no complications detected at 1-year follow-up after comprehensive medical therapy.
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