Fatal myocardial ischemia in a 12-year old secondary to fibromuscular dysplasia.
Cardiac causes of chest pain in children are rare; however, they continue to account for 1% to 6% of all cases dependent on the practice setting and patient history. Here we describe the case of a 12-year old with fibromuscular dysplasia that died from an acute myocardial infarction. Although this specific etiology is uncommon, the case illustrates the need for broad differentials when treating children with chest pain in the emergency medicine environment. In particular, even if the specific diagnosis cannot be readily made in the prehospital or emergency department (ED) setting, the possibility of cardiac disease should be considered.
New Hanover Regional Medical Center, Department of Obstetrics and Gynecology.
Paul M
PM
Swaney
Wake County Emergency Medical Services, Raleigh, NC, USA.
B Daniel
BD
Nayman
Office of the medical Director, Austin/Travis County Emergency Medical Services System, Austin, TX, USA.
Jose G
JG
Cabañas
Wake County Emergency Medical Services, Raleigh, NC, USA; University of North Carolina at Chapel Hill, Department of Emergency Medicine, Chapel Hill, NC, USA; WakeMed Emergency Services Institute, Clinical Research Unit.
J Brent
JB
Myers
D002648:Child; D017809:Fatal Outcome; D005352:Fibromuscular Dysplasia / Q000150:complications*; D006801:Humans; D008297:Male; D009203:Myocardial Infarction / Q000209:etiology*