TY - JOUR
T1 - Acute myocardial infarction in the presence of normal coronaries and the absence of risk factors in a young, lifelong regular exerciser
AU - Whyte, Gregory
AU - Godfrey, Richard
AU - O'Hanlon, Rory
AU - Wilson, Mathew
AU - Buckley, John
AU - Sharma, Sanjay
PY - 2009/5
Y1 - 2009/5
N2 - Around 6% of patients suffering an acute myocardial infarction (AMI) have normal coronary arteries. The mechanisms responsible are not fully known, but include hypercoagulable state, coronary endothelial dysfunction, aortic dissection, inflammation, coronary thrombosis, aortic wall stiffening, cocaine abuse, carbon monoxide poisoning and paradoxical embolism. Here, the case of a lifelong regular exerciser without risk factors for cardiovascular disease who suffered an AMI with normal coronaries is reported. Despite normal cardiac f unction on left ventriculography and echocardiography, late gadolinium enhancement by cardiac magnetic resonance (CMR) revealed significant cardiac necrosis. The long-term prognosis is favourable with low rates of coronary morbidity and mortality. Acute chest pain should not be considered as benign and warrants medical investigation.
AB - Around 6% of patients suffering an acute myocardial infarction (AMI) have normal coronary arteries. The mechanisms responsible are not fully known, but include hypercoagulable state, coronary endothelial dysfunction, aortic dissection, inflammation, coronary thrombosis, aortic wall stiffening, cocaine abuse, carbon monoxide poisoning and paradoxical embolism. Here, the case of a lifelong regular exerciser without risk factors for cardiovascular disease who suffered an AMI with normal coronaries is reported. Despite normal cardiac f unction on left ventriculography and echocardiography, late gadolinium enhancement by cardiac magnetic resonance (CMR) revealed significant cardiac necrosis. The long-term prognosis is favourable with low rates of coronary morbidity and mortality. Acute chest pain should not be considered as benign and warrants medical investigation.
UR - http://www.scopus.com/inward/record.url?scp=79955550418&partnerID=8YFLogxK
U2 - 10.1136/bcr.07.2008.0384
DO - 10.1136/bcr.07.2008.0384
M3 - Comment/debate
AN - SCOPUS:79955550418
SN - 1757-790X
VL - 2009
SP - 1
EP - 8
JO - BMJ Case Reports
JF - BMJ Case Reports
M1 - 0384
ER -