Acute coronary syndrome in young patients with atypical symptoms

  • Gustavo Daher Hospital Universitário - Universidade de São Paulo, São Paulo/SP – Brasil.
  • Henrique Lane Staniak Hospital Universitário - Universidade de São Paulo, São Paulo/SP – Brasil.
  • Márcio Sommer Bittencourt Hospital Universitário - Universidade de São Paulo, São Paulo/SP – Brasil.
  • Rodolfo Sharovsky Hospital Universitário - Universidade de São Paulo, São Paulo/SP – Brasil.
Keywords: Chest paint, Acute coronary syndromes, Tomography, Angiography/methods, Myocarditis.

Abstract

Evaluation of acute chest pain can be extremely difficult and challenging. This diagnosis comprehends several causes, including benign and potentially lethal causes.
Most of the time, the diagnosis can be done with the history and ordinary tests such as electrocardiogram, chest x-ray and myocardial enzymes. The coronary angiotomography is a new tool that can safely rule out acute coronary syndrome, being
performed in patients with low to middle probability of acute coronary syndrome.
The present report describes a young woman that presented to the emergency unit with atypical chest pain and myocardial enzyme elevation. Miocarditis was the initial diagnosis
The patient was submited to a coronary angiotomography with late enhancement research. The coronary angiotomography demonstrated zero calcium score with a high degree stenosis in the coronary descending artery and late enhancement in
anterior wall demonstrating myocardial necrosis. It was performed coronary catheterization and angioplasty afterwards.

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Author Biographies

Gustavo Daher, Hospital Universitário - Universidade de São Paulo, São Paulo/SP – Brasil.
Residente na Divisão de Clínica Médica do Hospital Universitário - Universidade de São Paulo, São Paulo/SP – Brasil.
Henrique Lane Staniak, Hospital Universitário - Universidade de São Paulo, São Paulo/SP – Brasil.
Divisão de Clínica Médica do Hospital Universitário - Universidade de São Paulo, São Paulo/SP – Brasil.
Márcio Sommer Bittencourt, Hospital Universitário - Universidade de São Paulo, São Paulo/SP – Brasil.
Divisão de Clínica Médica do Hospital Universitário - Universidade de São Paulo, São Paulo/SP – Brasil.
Rodolfo Sharovsky, Hospital Universitário - Universidade de São Paulo, São Paulo/SP – Brasil.
Serviço de Iconologia do Hospital Universitário - Universidade de São Paulo, São Paulo/SP – Brasil.
Published
2011-03-08
How to Cite
Daher, G., Staniak, H., Bittencourt, M., & Sharovsky, R. (2011). Acute coronary syndrome in young patients with atypical symptoms. Autopsy and Case Reports, 1(1). https://doi.org/10.4322/acr.2016.018
Section
Article / Clinical Case Report