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Myocardial infarction in children: Two interesting cases.

Suryawanshi SP, Das B, Patnaik AN - Ann Pediatr Cardiol (2011)

Bottom Line: Myocardial infarction in children is extremely rare and can have various etiologies.The following two case reports highlight rare but important causes of myocardial infarction in children.

View Article: PubMed Central - PubMed

Affiliation: Department of Cardiology, Nizam's Institute of Medical Sciences, Punjagutta, Hyderabad - 500 082, Andhra Pradesh, India.

ABSTRACT
Myocardial infarction in children is extremely rare and can have various etiologies. The following two case reports highlight rare but important causes of myocardial infarction in children.

No MeSH data available.


Related in: MedlinePlus

Photograph showing tendinous xanthomas on the elbow
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Figure 3: Photograph showing tendinous xanthomas on the elbow

Mentions: A 16-year-old boy presented with breathlessness and palpitations on minimal exertion for the past 1 month. He had no fever, respiratory symptoms or chest pain. He was a nonsmoker, nonhypertensive and nondiabetic. There was a family history of hypercholesterolemia in the younger sister. She was asymptomatic and was already on statin therapy. His younger brother died suddenly a year earlier. His parents were asymptomatic and their physical examination was normal. Unfortunately, we do not have their lipid profile. The patient's physical examination revealed tendinous and tuberous xanthomas [Figures 3 and 4], stria palmaris and arcus juveniles. Cardiovascular examination revealed mild cardiomegaly. The electrocardiogram showed poor progression of ‘R’ wave in lead V1 to V4. The chest x-ray showed cardiomegaly and there was evidence of pulmonary venous hypertension. The 2-D echocardiogram showed dilated LV, with severe LV systolic dysfunction and akinetic interventricular septum, moderate mitral regurgitation and moderate pulmonary artery hypertension. His lipid profile was as follows: total cholesterol, 440 mg/dl, LDL cholesterol, 398 mg/dl, HDL cholesterol, 30 mg/dl, TG, 60 mg/dl and VLDL cholesterol, 12 mg/dl.


Myocardial infarction in children: Two interesting cases.

Suryawanshi SP, Das B, Patnaik AN - Ann Pediatr Cardiol (2011)

Photograph showing tendinous xanthomas on the elbow
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC3104543&req=5

Figure 3: Photograph showing tendinous xanthomas on the elbow
Mentions: A 16-year-old boy presented with breathlessness and palpitations on minimal exertion for the past 1 month. He had no fever, respiratory symptoms or chest pain. He was a nonsmoker, nonhypertensive and nondiabetic. There was a family history of hypercholesterolemia in the younger sister. She was asymptomatic and was already on statin therapy. His younger brother died suddenly a year earlier. His parents were asymptomatic and their physical examination was normal. Unfortunately, we do not have their lipid profile. The patient's physical examination revealed tendinous and tuberous xanthomas [Figures 3 and 4], stria palmaris and arcus juveniles. Cardiovascular examination revealed mild cardiomegaly. The electrocardiogram showed poor progression of ‘R’ wave in lead V1 to V4. The chest x-ray showed cardiomegaly and there was evidence of pulmonary venous hypertension. The 2-D echocardiogram showed dilated LV, with severe LV systolic dysfunction and akinetic interventricular septum, moderate mitral regurgitation and moderate pulmonary artery hypertension. His lipid profile was as follows: total cholesterol, 440 mg/dl, LDL cholesterol, 398 mg/dl, HDL cholesterol, 30 mg/dl, TG, 60 mg/dl and VLDL cholesterol, 12 mg/dl.

Bottom Line: Myocardial infarction in children is extremely rare and can have various etiologies.The following two case reports highlight rare but important causes of myocardial infarction in children.

View Article: PubMed Central - PubMed

Affiliation: Department of Cardiology, Nizam's Institute of Medical Sciences, Punjagutta, Hyderabad - 500 082, Andhra Pradesh, India.

ABSTRACT
Myocardial infarction in children is extremely rare and can have various etiologies. The following two case reports highlight rare but important causes of myocardial infarction in children.

No MeSH data available.


Related in: MedlinePlus