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Case Report

A Case Report on Acute Myocardial Infarction in Young: Atypical ECG Changes Vs. Angiographic Correlation

Aisvarya Girotra MEM Resident, Department of Emergency Medicine, Max Hospital, Shalimar Bagh, New Delhi, Delhi 110088, India. , Aisvarya Girotra1 , Kishalay Datta2 , Rigenjyoti Kalita3

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Indian Journal of Emergency Medicine 3(2):p 261-263, Jul-Dec 2017. | DOI: http://dx.doi.org/10.21088/ijem.2395.311X.3217.16

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Abstract

Acute myocardial infarction (AMI) among young is relatively uncommon. Coronary artery disease (CAD) mostly occurs in persons older than 45 years of age. In recent times, with the advent of sedentary lifestyles, smoking, drug abuse and obesity; among other traditional risk factors; incidence of young patients suffering from acute coronary syndrome in particular acute MI, is on the rise. Atypical presentations and the reluctance to seek medical attention are other contributory factors in young adults. The disease carries significant morbidity, psychological as well and financial effects on the patient and his close ones. Here we have reported a case of a 28 year old male with no known co morbidities presenting to the ED with ongoing chest pain since an hour and h/o diaphoresis. Patient was evaluated in ED, ECG suggestive of progressively increasing ST segment elevation in inferior leads. The patient was evaluated, Coronary angiography was done and found to have an uncommon Apical Left Anterior Descending artery ( Type III or “wraparound” LAD) occlusion leading to an inferior wall MI.

Keywords: Acute MI; Thrombolysis; Coronary Angiography; Troponin I; Angioplasty; AMIAnterior Myocardial Infraction. 

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DOI: http://dx.doi.org/10.21088/ijem.2395.311X.3217.16

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