Acute myocardial infarction in a young elite cyclist: a missed opportunity.
Christopher St Clair Gaston ThompsonMarc PassThomas TimothyJohn HungMohaned EgredPublished in: BMJ case reports (2019)
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.
Keyphrases
- st segment elevation myocardial infarction
- percutaneous coronary intervention
- acute myocardial infarction
- emergency department
- coronary artery
- body composition
- acute coronary syndrome
- coronary artery disease
- randomized controlled trial
- pulmonary artery
- blood pressure
- case report
- heart rate variability
- single cell
- heart rate
- atrial fibrillation
- left ventricular
- chemotherapy induced
- adverse drug