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CC BY-NC-ND 4.0 · Journal of Health and Allied Sciences NU 2021; 11(02): 101-103
DOI: 10.1055/s-0040-1722427
Case Report

A Rare Case of Myocardial Infarction with Nonobstructive Coronary Arteries Due to Hereditary Thrombophilia

Ramesh Bala Arivazhagan
1   Department of General Medicine, Sri Manakula Vinayagar Medical College and Hospital, Kalitheerthalkuppam, Madagadipet, Pondicherry, India
,
Manokaran Chinnusamy
1   Department of General Medicine, Sri Manakula Vinayagar Medical College and Hospital, Kalitheerthalkuppam, Madagadipet, Pondicherry, India
,
Ashida Thulaseedharan Sarojadevi
2   Department of Cardiology, Sri Manakula Vinayagar Medical College and Hospital, Kalitheerthalkuppam, Madagadipet, Pondicherry, India
,
Sathiyanarayanan Janakiraman
1   Department of General Medicine, Sri Manakula Vinayagar Medical College and Hospital, Kalitheerthalkuppam, Madagadipet, Pondicherry, India
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Abstract

The incidence of acute myocardial infarction with nonobstructive coronary arteries in young age less than 20 years in India due to hereditary thrombophilia is uncommon. Combined protein S and protein C deficiency has an increased tendency for coronary artery thrombosis in very young individuals. Acute myocardial infarction in young individuals has different risk factors profile, clinical presentation, and prognosis when compared with elderly population and hence incites the need for different approach in the management. Here we report a case of 17-year-old boy who presented with acute inferior wall myocardial infarction with nonobstructive coronary arteries due to hereditary protein C and protein S deficiency.

Keywords

MINOCA - thrombophilia - protein C and protein S deficiency - anticoagulants - recurrence of events


Publication History

Article published online:
30 December 2020

© 2020. Nitte (Deemed to be University). This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/).

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