Unusual presentation of acute coronary syndrome in a 22-year-old male with juvenile idiopathic arthritis: A case report | [Pakistan Heart Journal • 2024]

Author(s):

1. Tariq Sallar: National Institute of Cardiovascular, Diseases, Karachi, Pakistan

2. Ali Ammar: National Institute of Cardiovascular, Diseases, Karachi, Pakistan

3. Fiyaz Hussain: National Institute of Cardiovascular, Diseases, Karachi, Pakistan

4. Romana Awan: National Institute of Cardiovascular, Diseases, Karachi, Pakistan

5. Sidra Tul Muntaha: National Institute of Cardiovascular, Diseases, Karachi, Pakistan

6. Moiz Ahmed: National Institute of Cardiovascular, Diseases, Karachi, Pakistan

7. Javaid Akbar Sial: National Institute of Cardiovascular, Diseases, Karachi, Pakistan

Abstract:

This case report documents the clinical journey of a 22 -year-old male who was initially diagnosed with Rheumatoid Arthritis (RA) and later, at the age of 11, with Juvenile Idiopathic Arthritis (JIA). The patient manifested atypical symptoms, primarily marked by sudden and intense chest pain accompanied by sweating, leading to a collapse during his emergency room visit. Medical evaluation revealed an extensive myocardial infarction affecting the anterior wall. The patient underwent a successful percutaneous coronary intervention targeting the left anterior descending artery. This case underscores the rare incidence of acute coronary sy ndrome in young patients with a history of JIA.

Page(s): 67-70

DOI: 10.47144/phj.v57i1.2513

Published: Journal: Pakistan Heart Journal, Volume: 57, Issue: 1, Year: 2024

Keywords:

Rheumatoid Arthritis , Myocardial Infarction , Acute coronary syndrome , Juvenile Idiopathic Arthritis JIA

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