Major Role of Coronary Spasm in the Pathogenesis of Myocardial Infarction at Young Age

Rationale: Tetany is a common, serious, well-established endocrinal and metabolic hypocalcemic disorder. Chest tetany is a novel metabolic term in hypocalcemia characterized by acute severe twisting chest pain. Movable phenomenon (Yasser’s phenomenon) is a new phenomenon that is usually associated with hypocalcemia. oxygenation may have a role in the management of coronary artery spasm. Patient concerns: A middle-aged farmer smoker male patient presented to physician outpatient clinic with tetany, mimic high lateral myocardial infarction, mirror electrocardiographic change, Movable phenomenon (Yasser’s phenomenon), and coronary artery spasm. Diagnosis: Mimic high lateral myocardial infarction in chest tetany with mirror electrocardiographic change, Movable phenomenon (Yasser’s phenomenon), and coronary artery spasm. Interventions: Electrocardiography, oxygenation, IV calcium injection, and echocardiography. Outcomes: Acute dramatic clinical and electrocardiographic improvement had happened. Lessons: The reversal of mirror electrocardiographic change, reversal of ST-segment depression coronary artery spasm, and normalization of Movable phenomenon (Yasser’s phenomenon) after oxygenation. It signifies the role of oxygen in both coronary artery spasm and tetany. Mirror local electrocardiographic change is a novel described expression that may reflect the myocardial polarity in this chest tetany.

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Myocardial infarction at a young age — Role of cigarette smoking

The American Journal of Cardiology ◽

10.1016/0002-9149(82)92010-0 ◽

1982 ◽

Vol 49 (4) ◽

pp. 901 ◽

Cited By ~ 1

Author(s):

John A. Kennedy ◽

John D. McArthur ◽

Henry J. Dargie ◽

David O'Neill ◽

A.David Cunningham

Keyword(s):

Myocardial Infarction ◽

Cigarette Smoking ◽

Young Age

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Role of genetic polymorphisms in myocardial infarction at young age

Clinical Hemorheology and Microcirculation ◽

10.3233/ch-2010-1353 ◽

2010 ◽

Vol 46 (4) ◽

pp. 291-298 ◽

Cited By ~ 16

Author(s):

E. Incalcaterra ◽

M. Caruso ◽

C.R. Balistreri ◽

G. Candore ◽

R. Lo Presti ◽

...

Keyword(s):

Myocardial Infarction ◽

Genetic Polymorphisms ◽

Young Age

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Kounis Syndrome together with Myocardial Bridging Leading to Acute Myocardial Infarction at Young Age

Case Reports in Medicine ◽

10.1155/2011/490310 ◽

2011 ◽

Vol 2011 ◽

pp. 1-4 ◽

Cited By ~ 3

Author(s):

Ilker Murat Caglar ◽

Alper Vural ◽

Fatma Nihan Turhan Caglar ◽

Murat Ugurlucan ◽

Osman Karakaya

Keyword(s):

Myocardial Infarction ◽

Acute Myocardial Infarction ◽

Coronary Artery ◽

Sudden Death ◽

Plaque Rupture ◽

Coronary Spasm ◽

Young Age ◽

Myocardial Bridging ◽

Kounis Syndrome ◽

Allergic Angina

Kounis syndrome, also named as “allergic angina syndrome,” is a diagnosis in which exposure to an allergen causes mostly coronary spasm and rarely plaque rupture, resulting in ischemic myocardial events. Myocardial bridging is defined as an intramural segment of a coronary artery and its systolic compression by overlying fibers. Myocardial bridging generally has a benign prognosis and mostly affects the mid portion of left anterior descending coronary artery. However, some cases with myocardial ischemia, infarction, and sudden death have also been reported. A 17-year-old boy presented to the clinic with acute anterolateral myocardial infarction after having first dose of clindamycin and diagnosed as Kounis syndrome. Further diagnostic workup of the patient showed myocardial bridging at the mid left anterior descending artery. In this report, we present the combination of Kounis syndrome and myocardial bridging leading to myocardial infarction at young age.

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