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Acute myocardial infarction in a young elite cyclist: A missed opportunity

Lookup NU author(s): Dr Mohaned Egred

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Abstract

© 2019 BMJ Publishing Group Limited.A 27-year-old elite-level professional cyclist presented to the emergency department with a 6-hour history of chest pain and vomiting after prematurely aborting a competitive event. ECG demonstrated anterior ST segment elevation myocardial infarction, and blood tests revealed a grossly elevated high-sensitivity troponin T. Emergent coronary angiography confirmed the presence of a thrombus in the mid-left anterior descending artery with possible spontaneous coronary artery dissection. The patient recovered well following balloon angioplasty and thrombus aspiration, despite delayed recognition, invasive investigation and intervention.

Publication metadata

Author(s): Thompson CSG, Pass M, Timothy T, Hung J, Egred M

Publication type: Article

Publication status: Published

Journal: BMJ Case Reports

Year: 2019

Volume: 12

Issue: 9

Online publication date: 06/09/2019

Acceptance date: 03/08/2019

ISSN (electronic): 1757-790X

Publisher: BMJ Publishing Group

URL: http://dx.doi.org/10.1136/bcr-2018-228560

DOI: 10.1136/bcr-2018-228560

PubMed id: 31494581

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