St-elevation myocardial infarction in a healthy 16-year-old adolescent: a clinical case

Background. Diagnosis of acute myocardial infarction (AMI) in pubertal patients is a diagnostic challenge, as individuals such young age usually do not have traditional risk factors for coronary heart disease (CHD) and, result, are at increased misdiagnosis. Objective. To describe clinical case AMI 16-yearold patient against the background complete well-being. Design and methods. A 16-year-old patient, well-being, developed pressing pains chest, which stopped on their own after few hours. During hospitalization, addition to an increase level troponin, results other laboratory instrumental studies did confirm version AMI, result cardiac non-cardiac causes development chest pain formed basis search. This was reason delayed diagnosis endovascular treatment thrombotic occlusion right artery, formation area persistent hypokinesia lower parts left ventricle. Further search possible including analysis genetically associated conditions, yield results. Results. publication describes inferior with ST segment elevation artery adolescent impact irrational process long-term prognosis. Conclusion. The presented demonstrates importance differential pain, even patients.