Acute myocardial infarction in juvenile patients with normal coronary arteries.
Three patients below 21 years of age presented with typical symptoms, electrocardiographic pattern, and levels of enzymes suggestive for acute myocardial infarction. Various risk factors for coronary artery disease were present in all three patients. Coronary angiography showed normal coronary arteries in all. Thus, acute myocardial infarction may be experienced even in very young patients. Clinical and angiographic findings are discussed on the basis of the existing reports in the literature.
Podczeck
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3rd Medical Department, Wilhelminenspital, Ludwig Boltzmann Arrhythmia Research Institute, Vienna, Austria.
Frohner
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K
Steinbach
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K
D000319:Adrenergic beta-Antagonists / Q000627:therapeutic use; D000328:Adult; D017023:Coronary Angiography; D006801:Humans; D009203:Myocardial Infarction / Q000000981:diagnostic imaging* / Q000188:drug therapy; D009543:Nifedipine / Q000627:therapeutic use; D012307:Risk Factors; D013300:Streptokinase / Q000627:therapeutic use
D000319:Adrenergic beta-Antagonists; D013300:Streptokinase; D009543:Nifedipine