Remove Heart attacks Remove Pericarditis Remove Thrombosis
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ECG Blog #448 — A Young Man with Chest Pain.

Ken Grauer, MD

Pericarditis is rare — but myocarditis is not , so especially in this age group — more information is needed to quickly determine if this could be an acute MI, myocarditis, or none of the above. Causation of Endothelial damage is another potential mechanism of acute MI in a younger patient.

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A teenager with chest pain, a troponin below the limit of detection, and "benign early repolarization"

Dr. Smith's ECG Blog

Pericarditis? Other types of nonatherosclerotic potential causes of acute infarction in younger patients include systematic inflammatory disease (ie, lupus, rheumatoid arthritis, Wegener granulomatosis ) — thrombosis not due to coronary disease (ie, endocarditis, coagulation disorders ) — pregnancy ( with its hypercoagulable state ).

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A man in his 30s with cardiac arrest and STE on the post-ROSC ECG

Dr. Smith's ECG Blog

He reportedly told his family "I think I'm having a heart attack", then they immediately drove him to the ED, and he was able to ambulate into the triage area before he collapsed and became unresponsive. CPR was initiated immediately. (The Submitted by a Med Student, with Great Commentary on Bias! What is the Diagnosis?