title: ST-elevation acute myocardial infarction due to arterial thrombosis in a 29-year-old woman with normal coronary arteries.
abstract: Acute myocardial infarction (AMI) is rare in young adults. We present a case of a 29-year-old black woman who presented with an acute onset of chest pain while sleeping. Anterior wall ST-elevation AMI was diagnosed based on clinical presentation, electrocardiographic findings, and elevated cardiac biomarkers. Coronary angiography revealed a totally occluded proximal left anterior descending artery. The obstructing lesion, thrombus, was removed. There was no evidence of atherosclerotic disease or dissection. An evaluation for a hypercoagulable state was unrevealing. Echocardiography 1 year later revealed normal left ventricular wall motion and systolic function.
authors.affiliation: Cardiology Division, Baylor Scott and White Memorial Hospital, Temple, Texas (Male, Morton, Farber, Michel); and Texas A&M University Health Science Center College of Medicine, Temple, Texas (Michel).
authors.forename: Eneida
authors.initials: E
authors.lastname: Male
authors.affiliation: Cardiology Division, Baylor Scott and White Memorial Hospital, Temple, Texas (Male, Morton, Farber, Michel); and Texas A&M University Health Science Center College of Medicine, Temple, Texas (Michel).
authors.forename: Talitha
authors.initials: T
authors.lastname: Morton
authors.affiliation: Cardiology Division, Baylor Scott and White Memorial Hospital, Temple, Texas (Male, Morton, Farber, Michel); and Texas A&M University Health Science Center College of Medicine, Temple, Texas (Michel).
authors.forename: Adam
authors.initials: A
authors.lastname: Farber
authors.affiliation: Cardiology Division, Baylor Scott and White Memorial Hospital, Temple, Texas (Male, Morton, Farber, Michel); and Texas A&M University Health Science Center College of Medicine, Temple, Texas (Michel).
authors.forename: Jeffrey
authors.initials: J
authors.lastname: Michel