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Medicine and Health Sciences Commons

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Cardiology

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Department of Medicine Posters

Thomas Jefferson University

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St Elevation Myocardial Infarction In A Young Adult: Expect The Unexpected, Shashank Jain, Md, Priya Rajagopalan, Md, Mitul Kanzaria, Md, Meir Mazuz, Md Apr 2017

St Elevation Myocardial Infarction In A Young Adult: Expect The Unexpected, Shashank Jain, Md, Priya Rajagopalan, Md, Mitul Kanzaria, Md, Meir Mazuz, Md

Department of Medicine Posters

Background

  • Acute myocardial infarction (MI) in young adults can present a diagnostic and therapeutic challenge
  • Kawasaki disease (KD) is a vasculitis of unknown etiology that occurs in infancy and childhood
  • Coronary artery aneurysms (CAA) are the most serious complication of untreated KD seen in upto 25% of patients
  • Thrombosis of these CAA or coronary stenosis can present as MI in less than 2% of cases which mainly occur in the 1st year of disease onset
  • Late presentations in adult life is extremely rare