Acute ST‐elevation myocardial infarction in a 24‐year‐old woman with atheromatous coronary artery disease

Abstract

We report the case of a 24-year-old Torres Strait Islander woman who presented to a rural hospital ED with chest pain suspicious for myocardial ischaemia and was found to have an anterior ST-elevation myocardial infarction. She was thrombolysed and transferred to a tertiary centre where subsequent angiography revealed atheromatous disease of the left anterior descending coronary artery. We believe this to be one of the youngest reported cases of myocardial infarction due to atheromatous coronary artery disease, and demonstrates important learning points regarding the demographics and risk factors of indigenous patients with chest pain.

Acute ST‐elevation myocardial infarction in a 24‐year‐old woman with atheromatous coronary artery disease: Comment

“…McIver et al are thanked for reporting a ST elevation myocardial infarction (STEMI) in an acutely intoxicated, young, indigenous woman who experienced central chest pain, which radiated to her back, which was relieved on leaning forward, and who suffered poorly controlled type two diabetes mellitus. 1 Unfortunately, the authors have begged the question, as the history and clinical findings are not typical for pain secondary to myocardial ischaemia and the electrocardiograph produced is not prototypical for ST elevation infarction. 2 The authors regard the ST elevation in leads V2 to V4 as secondary to ischaemia while ignoring the elevation in lead II.…”

Acute ST‐elevation myocardial infarction in a 24‐year‐old woman with atheromatous coronary artery disease: Reply to comment

“…We thank Franke and Host 1 for their interest in our article 2 and for raising some valuable discussion points regarding the potential ambiguities surrounding the presentation and management of young Indigenous patients with chest pain.…”