Key result
Heavy smoking triggers total LAD occlusion and anterior STEMI in a 25-year-old male.
Why the study?
The influence of smoking and uncontrolled lipid profiles on the development of STEMI in young individuals is not fully understood and requires detailed examination.
Case Report (n=1)
MI possible in young heavy smokers; hypothesis-generating for smoking as isolated CAD trigger and needs confirmation.
We report a case of a 25-year-old male with the traditional risk factor for coronary artery disease (CAD), such as frequent smoking, while the other risk factors such as familial history of CAD were denied and hypertension, obesity, diabetes mellitus, or coagulation factors were not found. Patient was admitted with anterior ST-elevation myocardial infarction. Coronary angiography showed high intracoronary thrombus burden and total occlusion of the proximal segment of left anterior descending artery. Percutaneous coronary intervention was then performed as the treatment of choice, and resulted with no residual stenosis after. The patient had a smooth and progressive recovery.
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Aristya et al. (2023) conducted a case report in ST-elevation myocardial infarction (n=1). Smoking was evaluated on Coronary artery occlusion and myocardial infarction. A 25-year-old male heavy smoker without other traditional risk factors developed an anterior ST-elevation myocardial infarction due to total occlusion of the left anterior descending artery.
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